Siege of Fort Randolph 2010

Registration Form and Liability Release

 

Name: ____________________________________    Phone: _____________________

 

Address: _______________________________________________________________

 

E-mail _____________________________  Group name:  _______________________

 

Militia _____  Civilian ______  Sutler ______  Type of tent: ______________________

 

I am planning to set up camp on: ____________ Time: ________________   (approx.)

 

Number of members in your camp: ___     Names of other members: _______________________________________________________________________

_______________________________________________________________________

 

I am available for the Friday school tours: _____  I am able to do a demonstration on:____________ for the weekend.

I would like to have a speaking part in the drama: ____  I would like to have a non-speaking part in the drama: _____  I can bring _________________________ to use during the drama.

                                                          (Bucket, pitchfork, etc.)

I can donate _______________ for the auction.  I will bring _____________ for the meal on Saturday night.

 

I do hereby, for myself, my heirs, my executor or administrator, release and forever discharge any and all rights and claims, for, or to be, for which I or members of my family may have or which may hereafter accrue to me or my family against the Fort Randolph Committee and/or any other person connected and scheduled committee activities individually, or collectively, for all responsibility for injury to persons during these activities.

 

Signed: ________________________  Signed: _________________________________

 

Fire wood, straw and showers are available.  Only Native Americans will be allowed to camp in the Indian Village.  Civilian, Militia and Sutlers will camp in designated areas.  Please check with one of the event organizers before setting up your camp.  Wedge tents for the militia will be allowed to camp inside the walls.  Cabins inside the fort are on a first come basis. 

 

For pre-registration please mail to: 

Fort Randolph

PO Box 86

Point Pleasant, WV 25550