FEDERAL EVENT REGISTRATION
This Page is for Federal Registration. Confederate Registration is By Invitation Only.
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Advance on Fort Henry, Egyptians in Tennessee, Presented By Mess No. 1. All Rights Reserved
History for Advance on Fort Henry
History for Advance on Fort Henry
Registration for Advance on Fort Henry
Guidelines for Advance on Fort Henry
Home Page for Advance on Fort Hanry
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A registration and waiver form must be submitted for each registrant. The registration fee is $20.00 per person.You will receive a waiver form to sign when you check in at the registration at the event. Please bring a photo ID when you check in at the event. No walk-ons are permitted.
REGISTRATION INSTRUCTIONS:
Register On-Line: (Preferred) Type in this form completely. When you are finished, hit the "Submit" button at the bottom of the page. After you have submitted your registration, hit the PayPal button, at the bottom of the page. Please send the payment via Friends & Family so the fees will not be deducted. Register By Mail: Download the Federal Registration Form Here. Make your $20.00 check out to "Seth Hancock". Send your registration form with your check to: Seth Hancock, 401 Six Oaks Drive, Paducah, Kentucky 42003-8908. Your registration is not complete and you will not appear on the registration list until you have paid your registration fee.
ALL REGISTRATIONS MUST BE RECEIVED BY DECEMBER 31, 2016
Age:
Today's Date:
Address:
City:
State:
Zip:
Cell Phone:
Home Phone:
E-Mail:
Person to Contact in Case of an Emergency:
Phone:
Allergies, Medications, Conditions for Primary Care Providers:
Name:
Home Unit or Mess:
(If No Unit Affiliation, Write "Independent")
IMPORTANT: If you are a certified EMT or have lifesaving/first aid training and would be willing to help our medical staff at this event, please answer “yes” and we will contact you prior to the event.
You Are Registering for the 31st Illinois (US). Type "YES" in the Box:
Send Money to Personal or Family