CWAC : : Reservations : : Rally

Rally Camp Registration Form
(For individuals, families and small groups)

Cost is $70 per participant and payment is required at the time of registration. Call our Reservation Specialists at (804) 861-2408 to book your adventure today, or mail your forms with payment to the address listed below. Please note: Individuals under the age of 18 must be accompanied by an adult. Please fill out the form below for each camp participant.

First Name: Last Name:

Street Address:

City: State: Zip Code: Rally Date (eg. 05/24/08):

Please note the selected Rally Days for 2010 are as follows: June 26-27, July 10-11, August 28-29, and October 23-24.

Age: Gender: Male Female Uniform: Union Confederate

Coat Sizing: (Chest measurement in inches)

Daytime Phone:( ) Evening Phone:( ) Email:

Meal Substitution: Please note that meals served during Camp will contain beef. Check this box only if you require a vegetarian substitution.

Print this form, and FAX or mail it to us at:

The Civil War Adventure Camp,
Pamplin Historical Park
6125 Boydton Plank Road
Petersburg, VA 23803
( 804) 861-2820