2018 Re-enactment Registration Form If you are a human and are seeing this field, please leave it blank. Fields marked with an * are required Please see Re-enactor Information page before using this form. If you or your unit are planning to attend the 1812 re-enactment event at Crysler's Farm Battlefield Memorial on July 14-15, 2018, please complete all fields below. A copy of your registration will be e-mailed to you to confirm your registration. Thanks and we look forward to seeing you. Your full name * Unit * Click to select... 1st (Alicia's Own) Regiment, Grenville Militia 1st Kentucky Rifle Regiment, Captain Hickman's Company 1st Regiment of Foot 'Royal Scots' Light Company 1st US Light Artillery 100th Regiment 15th US Infantry 19th Light Dragoons 2nd Lincoln Artillery 2nd Lincoln Militia Artillery-4th Battery 22nd US Infantry 41st Regiment of Foot 49th Regiment of Foot Grenadier Coy. 89th Reg't Foot Aisquith's Sharp Shooters British Indian Department - Ferguson's Company/Native Allies Canadian Regiment of Fencible Infantry Canadian Voltigeurs Canadian Volunteers Capt. Caddy's Coy Royal Artillery Civilians in the Midst of Alarums Crown Forces Staff Forsythes Rifles Geriatric Gun Crew Glengarry Light Infantry Fencibles Grumpy Old man Incorporated Militia of Upper Canada NY Militia-Kellog's Coy Royal Navy Ground Forces Royal Newfoundland Regiment St. Clair Company Royal Artillery Saint Lawrence Living History Society Upper Canada Woodland Allies Other (please fill in fields below) If your unit is NOT listed above, or you are an individual or demonstrator, please select "Other" and fill in the details below. Unit name/Individual/Demonstrator/Sutler Commander (if Unit) Contact Information Email * Phone * Address City Province/State Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Northwest Territories Nova Scotia Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Postal/Zip code Attendee Information Number of troops (Infantry, gunners, sailors, cooks, officers, etc.) * Number of camp followers (Adults) Number of camp followers (Children 12 & over) Number of camp followers (Children under 12) Number of tents by category: Wedges Marquee Kitchen tent/fly Bell of Arms Muskets/Rifles Will you be bringing muskets / rifles? Yes No If YES, how many? Will you be bringing artillery / cannon? No Yes If YES, how many and what size(s)? Additional Information Special/different requirements Submit Registration Please answer the anti-spam question below and click Submit Registration. A confirmation email message will be sent to the email address you specified above. If you do not receive a confirmation, please check your spam folder. What is thirteen minus 6? *
