Registration Form

Registration Form

Registration Information Guidelines

Please complete the electronic registration form below and submit using the submit button at the bottom of the page

Or you may download a Word or PDF version of the registration form and email or US mail to Joshua Mueller. Email ⦁ Joshua.mueller11@yahoo.com , or by mail to 928 ½ Main St. Bastrop Tx. 78602

Registration form in Word

Registration form in PDF

First name:

Last name:

Email address:

Mailing address:

Phone numbers:

Have you participated with Texas Civil War Civilians before?

Unit Affiliation:

Do you have any medical conditions? If so please describe:

Emergency contact person and phone number:

I portray:

If other, please describe

Desired Quarters:

I will arrive on site:

If arriving at another time please explain

Please print the Release and Waiver of Liability Agreement, bring it with you to the event and provide it with your $5.00 registration fee at check in.

Release and Waiver