To Arms! To Arms! Federal Troops Advance on Jefferson
Battle for Jefferson Multiple Online Registrations

Online registration saves you Money and Time!
Deadline for online registration is Tuesday, May 1, 2018.
1. Fill out the web form below.
2. Proceed to PayPal to complete payment of $8 per participant.
3. Check your email. Have each participant print and sign this Waiver and Release of Liability and have them bring it to the designated check-in counter for Online Registrations at Registration Headquarters located at 120 E Austin Street where event schedules and ribbons are distributed.

Your Name

Your Email

Enter Quantity for the total amount of people you are registering, maximum of 25 per order.

Each Participant $8


 
Participant 1

Re-Enactment Role

Full Name

Over 18?

Street Address

City

State

Zip Code

Telephone

Unit Affiliation

Military Branch

Emergency Contact Name

Emergency Contact Number

Parent / Guardian Name


 
Participant 2

Re-Enactment Role

Full Name

Over 18?

Street Address

City

State

Zip Code

Telephone

Unit Affiliation

Military Branch

Emergency Contact Name

Emergency Contact Number

Parent / Guardian Name


 
Participant 3

Re-Enactment Role

Full Name

Over 18?

Street Address

City

State

Zip Code

Telephone

Unit Affiliation

Military Branch

Emergency Contact Name

Emergency Contact Number

Parent / Guardian Name


 
Participant 4

Re-Enactment Role

Full Name

Over 18?

Street Address

City

State

Zip Code

Telephone

Unit Affiliation

Military Branch

Emergency Contact Name

Emergency Contact Number

Parent / Guardian Name


 
Participant 5

Re-Enactment Role

Full Name

Over 18?

Street Address

City

State

Zip Code

Telephone

Unit Affiliation

Military Branch

Emergency Contact Name

Emergency Contact Number

Parent / Guardian Name


 
Participant 6

Re-Enactment Role

Full Name

Over 18?

Street Address

City

State

Zip Code

Telephone

Unit Affiliation

Military Branch

Emergency Contact Name

Emergency Contact Number

Parent / Guardian Name


 
Participant 7

Re-Enactment Role

Full Name

Over 18?

Street Address

City

State

Zip Code

Telephone

Unit Affiliation

Military Branch

Emergency Contact Name

Emergency Contact Number

Parent / Guardian Name


 
Participant 8

Re-Enactment Role

Full Name

Over 18?

Street Address

City

State

Zip Code

Telephone

Unit Affiliation

Military Branch

Emergency Contact Name

Emergency Contact Number

Parent / Guardian Name


 
Participant 9

Re-Enactment Role

Full Name

Over 18?

Street Address

City

State

Zip Code

Telephone

Unit Affiliation

Military Branch

Emergency Contact Name

Emergency Contact Number

Parent / Guardian Name


 
Participant 10

Re-Enactment Role

Full Name

Over 18?

Street Address

City

State

Zip Code

Telephone

Unit Affiliation

Military Branch

Emergency Contact Name

Emergency Contact Number

Parent / Guardian Name


 
Participant 11

Re-Enactment Role

Full Name

Over 18?

Street Address

City

State

Zip Code

Telephone

Unit Affiliation

Military Branch

Emergency Contact Name

Emergency Contact Number

Parent / Guardian Name


 
Participant 12

Re-Enactment Role

Full Name

Over 18?

Street Address

City

State

Zip Code

Telephone

Unit Affiliation

Military Branch

Emergency Contact Name

Emergency Contact Number

Parent / Guardian Name


 
Participant 13

Re-Enactment Role

Full Name

Over 18?

Street Address

City

State

Zip Code

Telephone

Unit Affiliation

Military Branch

Emergency Contact Name

Emergency Contact Number

Parent / Guardian Name


 
Participant 14

Re-Enactment Role

Full Name

Over 18?

Street Address

City

State

Zip Code

Telephone

Unit Affiliation

Military Branch

Emergency Contact Name

Emergency Contact Number

Parent / Guardian Name


 
Participant 15

Re-Enactment Role

Full Name

Over 18?

Street Address

City

State

Zip Code

Telephone

Unit Affiliation

Military Branch

Emergency Contact Name

Emergency Contact Number

Parent / Guardian Name


 
Participant 16

Re-Enactment Role

Full Name

Over 18?

Street Address

City

State

Zip Code

Telephone

Unit Affiliation

Military Branch

Emergency Contact Name

Emergency Contact Number

Parent / Guardian Name


 
Participant 17

Re-Enactment Role

Full Name

Over 18?

Street Address

City

State

Zip Code

Telephone

Unit Affiliation

Military Branch

Emergency Contact Name

Emergency Contact Number

Parent / Guardian Name


 
Participant 18

Re-Enactment Role

Full Name

Over 18?

Street Address

City

State

Zip Code

Telephone

Unit Affiliation

Military Branch

Emergency Contact Name

Emergency Contact Number

Parent / Guardian Name


 
Participant 19

Re-Enactment Role

Full Name

Over 18?

Street Address

City

State

Zip Code

Telephone

Unit Affiliation

Military Branch

Emergency Contact Name

Emergency Contact Number

Parent / Guardian Name


 
Participant 20

Re-Enactment Role

Full Name

Over 18?

Street Address

City

State

Zip Code

Telephone

Unit Affiliation

Military Branch

Emergency Contact Name

Emergency Contact Number

Parent / Guardian Name


 
Participant 21

Re-Enactment Role

Full Name

Over 18?

Street Address

City

State

Zip Code

Telephone

Unit Affiliation

Military Branch

Emergency Contact Name

Emergency Contact Number

Parent / Guardian Name


 
Participant 22

Re-Enactment Role

Full Name

Over 18?

Street Address

City

State

Zip Code

Telephone

Unit Affiliation

Military Branch

Emergency Contact Name

Emergency Contact Number

Parent / Guardian Name


 
Participant 23

Re-Enactment Role

Full Name

Over 18?

Street Address

City

State

Zip Code

Telephone

Unit Affiliation

Military Branch

Emergency Contact Name

Emergency Contact Number

Parent / Guardian Name


 
Participant 24

Re-Enactment Role

Full Name

Over 18?

Street Address

City

State

Zip Code

Telephone

Unit Affiliation

Military Branch

Emergency Contact Name

Emergency Contact Number

Parent / Guardian Name


 
Participant 25

Re-Enactment Role

Full Name

Over 18?

Street Address

City

State

Zip Code

Telephone

Unit Affiliation

Military Branch

Emergency Contact Name

Emergency Contact Number

Parent / Guardian Name


By you submitting this form, you are agreeing to a legal document.

Don't forget to print and have each person sign this Waiver and Release of Liability and bring it with them to check-in.