Fort Pocahontas at Wilson’s Wharf
Registration Form 2010
P.O. Box 104, Charles City, VA 23030     Phone-(804) 829-9722          Fax-(804) 358-3705     ktyler@sherwoodforest.org

Please Circle one: Confederate     Union     Civilian     USCTs     Sutler     First Person

Presenter Infantry     Cavalry     Artillery     Navy     Medical     Civilian     Other ______________

Contact Information :  Name: (last)________________ (first)_____________(Rank/Office)________

Unit and Battalion Affiliation or Sutlery:___________________________________________________

 Address:_________________________________________________________________________

Phone: Day _________________________Evening ___________________Mobile________________

E-mail:_______________________

My unit will bring the following number of:   Horses ______ Additional Equipment ______________

Number of Artillery Pieces and Describe _________________________________________________

Before May 12, 2010   Number of registrants: ____ @ $10 per person(12 years and over)    = $______

After May 12, 2010      Number of registrants: ____ @ $15 per person(12 years and over)    = $______

All proceeds support the preservation and interpretation of Fort Pocahontas.
Please make checks payable to Fort Pocahontas to mailing address above.

Please list the Name, Rank and Type of Tent for each participant on List Below.

      Name (Last, First)                               Rank                                        Tent Type
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