Registration Form

OLD WASHINGTON LIVING HISTORY AND REENACTMENT ROSTER FOR PRE-REGISTRATION 
There will a registration fee of $6.00 per person for the Living History and Reenactment. 

UNIT  NAME______________________________________________________________ C.S.A._____________ 

FEDERAL_________________________ INFANTRY________________ CALVARY______________________ 

ARTILLERY________________ MAIL TO CONTACT PERSON:         Marsha Jones - P. O. Box 132, Washington, 
KY 41096.  Phone: (606) 759-0505     E-mail: marsha_h_jones@hotmail.com 

NAME/RANK_______________________________________________________________________

ADDRESS__________________________________________________________________________

PHONE_______________________ E-MAIL_______________________________________________ 

COMMANDER NAME__________________________________________________ 

RANK NAME _________________________________________________________

1.________________________ ___________________________________________ 

2.________________________ ___________________________________________ 

3.________________________ ___________________________________________ 

4.________________________ ___________________________________________ 

Infantry Confederate
Commanders:
Capt. Mike Allen - 2nd KY Infantry
Capt. John F. Crank - 5th Ohio Light Artillery

 

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