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Master Recruit Form
Group Leaders: Please take a few moments to fill out the information below, providing all pertinent information for each member in your party attending the Civil War Adventure Camp. Click the appropriate letters and provide sizing information in inches.
Group Name: Camp Dates (eg. 01/02/05) : to
| Recruit
01 Name: Age: Gender: Male Female Uniform: Union Confederate Coat Sizing: Hat Sizing: Waist Sizing: Medical Conditions: Vegetarian Meal? Yes No Emergency Contact: Emerg. Phone:( ) |
Recruit 02 Name: Age: Gender: Male Female Uniform: Union Confederate Coat Sizing: Hat Sizing: Waist Sizing: Medical Conditions: Vegetarian Meal? Yes No Emergency Contact: Emerg. Phone:( ) |
| Recruit
03 Name: Age: Gender: Male Female Uniform: Union Confederate Coat Sizing: Hat Sizing: Waist Sizing: Medical Conditions: Vegetarian Meal? Yes No Emergency Contact: Emerg. Phone:( ) |
Recruit 04 Name: Age: Gender: Male Female Uniform: Union Confederate Coat Sizing: Hat Sizing: Waist Sizing: Medical Conditions: Vegetarian Meal? Yes No Emergency Contact: Emerg. Phone:( ) |
Recruit
05 |
Recruit 06 Name: Age: Gender: Male Female Uniform: Union Confederate Coat Sizing: Hat Sizing: Waist Sizing: Medical Conditions: Vegetarian Meal? Yes No Emergency Contact: Emerg. Phone:( ) |
| Recruit
07 Name: Age: Gender: Male Female Uniform: Union Confederate Coat Sizing: Hat Sizing: Waist Sizing: Medical Conditions: Vegetarian Meal? Yes No Emergency Contact: Emerg. Phone:( ) |
Recruit 08 Name: Age: Gender: Male Female Uniform: Union Confederate Coat Sizing: Hat Sizing: Waist Sizing: Medical Conditions: Vegetarian Meal? Yes No Emergency Contact: Emerg. Phone:( ) |
| Recruit
09 Name: Age: Gender: Male Female Uniform: Union Confederate Coat Sizing: Hat Sizing: Waist Sizing: Medical Conditions: Vegetarian Meal? Yes No Emergency Contact: Emerg. Phone:( ) |
Recruit 10 Name: Age: Gender: Male Female Uniform: Union Confederate Coat Sizing: Hat Sizing: Waist Sizing: Medical Conditions: Vegetarian Meal? Yes No Emergency Contact: Emerg. Phone:( ) |
| Recruit
11 Name: Age: Gender: Male Female Uniform: Union Confederate Coat Sizing: Hat Sizing: Waist Sizing: Medical Conditions: Vegetarian Meal? Yes No Emergency Contact: Emerg. Phone:( ) |
Recruit 12 Name: Age: Gender: Male Female Uniform: Union Confederate Coat Sizing: Hat Sizing: Waist Sizing: Medical Conditions: Vegetarian Meal? Yes No Emergency Contact: Emerg. Phone:( ) |
| Recruit
13 Name: Age: Gender: Male Female Uniform: Union Confederate Coat Sizing: Hat Sizing: Waist Sizing: Medical Conditions: Vegetarian Meal? Yes No Emergency Contact: Emerg. Phone:( ) |
Recruit 14 Name: Age: Gender: Male Female Uniform: Union Confederate Coat Sizing: Hat Sizing: Waist Sizing: Medical Conditions: Vegetarian Meal? Yes No Emergency Contact: Emerg. Phone:( ) |
| Recruit
15 Name: Age: Gender: Male Female Uniform: Union Confederate Coat Sizing: Hat Sizing: Waist Sizing: Medical Conditions: Vegetarian Meal? Yes No Emergency Contact: Emerg. Phone:( ) |
Recruit 16 Name: Age: Gender: Male Female Uniform: Union Confederate Coat Sizing: Hat Sizing: Waist Sizing: Medical Conditions: Vegetarian Meal? Yes No Emergency Contact: Emerg. Phone:( ) |
| Recruit
17 Name: Age: Gender: Male Female Uniform: Union Confederate Coat Sizing: Hat Sizing: Waist Sizing: Medical Conditions: Vegetarian Meal? Yes No Emergency Contact: Emerg. Phone:( ) |
Recruit 18 Name: Age: Gender: Male Female Uniform: Union Confederate Coat Sizing: Hat Sizing: Waist Sizing: Medical Conditions: Vegetarian Meal? Yes No Emergency Contact: Emerg. Phone:( ) |
| Recruit
19 Name: Age: Gender: Male Female Uniform: Union Confederate Coat Sizing: Hat Sizing: Waist Sizing: Medical Conditions: Vegetarian Meal? Yes No Emergency Contact: Emerg. Phone:( ) |
Recruit 20 Name: Age: Gender: Male Female Uniform: Union Confederate Coat Sizing: Hat Sizing: Waist Sizing: Medical Conditions: Vegetarian Meal? Yes No Emergency Contact: Emerg. Phone:( ) |
| Recruit
21 Name: Age: Gender: Male Female Uniform: Union Confederate Coat Sizing: Hat Sizing: Waist Sizing: Medical Conditions: Vegetarian Meal? Yes No Emergency Contact: Emerg. Phone:( ) |
Recruit 22 Name: Age: Gender: Male Female Uniform: Union Confederate Coat Sizing: Hat Sizing: Waist Sizing: Medical Conditions: Vegetarian Meal? Yes No Emergency Contact: Emerg. Phone:( ) |
| Recruit
23 Name: Age: Gender: Male Female Uniform: Union Confederate Coat Sizing: Hat Sizing: Waist Sizing: Medical Conditions: Vegetarian Meal? Yes No Emergency Contact: Emerg. Phone:( ) |
Recruit 24 Name: Age: Gender: Male Female Uniform: Union Confederate Coat Sizing: Hat Sizing: Waist Sizing: Medical Conditions: Vegetarian Meal? Yes No Emergency Contact: Emerg. Phone:( ) |
| Recruit
25 Name: Age: Gender: Male Female Uniform: Union Confederate Coat Sizing: Hat Sizing: Waist Sizing: Medical Conditions: Vegetarian Meal? Yes No Emergency Contact: Emerg. Phone:( ) |
Recruit 26 Name: Age: Gender: Male Female Uniform: Union Confederate Coat Sizing: Hat Sizing: Waist Sizing: Medical Conditions: Vegetarian Meal? Yes No Emergency Contact: Emerg. Phone:( ) |
| Recruit
27 Name: Age: Gender: Male Female Uniform: Union Confederate Coat Sizing: Hat Sizing: Waist Sizing: Medical Conditions: Vegetarian Meal? Yes No Emergency Contact: Emerg. Phone:( ) |
Recruit 28 Name: Age: Gender: Male Female Uniform: Union Confederate Coat Sizing: Hat Sizing: Waist Sizing: Medical Conditions: Vegetarian Meal? Yes No Emergency Contact: Emerg. Phone:( ) |
| Recruit
29 Name: Age: Gender: Male Female Uniform: Union Confederate Coat Sizing: Hat Sizing: Waist Sizing: Medical Conditions: Vegetarian Meal? Yes No Emergency Contact: Emerg. Phone:( ) |
Recruit 30 Name: Age: Gender: Male Female Uniform: Union Confederate Coat Sizing: Hat Sizing: Waist Sizing: Medical Conditions: Vegetarian Meal? Yes No Emergency Contact: Emerg. Phone:( ) |
| Recruit
31 Name: Age: Gender: Male Female Uniform: Union Confederate Coat Sizing: Hat Sizing: Waist Sizing: Medical Conditions: Vegetarian Meal? Yes No Emergency Contact: Emerg. Phone:( ) |
Recruit 32 Name: Age: Gender: Male Female Uniform: Union Confederate Coat Sizing: Hat Sizing: Waist Sizing: Medical Conditions: Vegetarian Meal? Yes No Emergency Contact: Emerg. Phone:( ) |
| Recruit
33 Name: Age: Gender: Male Female Uniform: Union Confederate Coat Sizing: Hat Sizing: Waist Sizing: Medical Conditions: Vegetarian Meal? Yes No Emergency Contact: Emerg. Phone:( ) |
Recruit 34 Name: Age: Gender: Male Female Uniform: Union Confederate Coat Sizing: Hat Sizing: Waist Sizing: Medical Conditions: Vegetarian Meal? Yes No Emergency Contact: Emerg. Phone:( ) |
| Recruit
35 Name: Age: Gender: Male Female Uniform: Union Confederate Coat Sizing: Hat Sizing: Waist Sizing: Medical Conditions: Vegetarian Meal? Yes No Emergency Contact: Emerg. Phone:( ) |
Recruit 36 Name: Age: Gender: Male Female Uniform: Union Confederate Coat Sizing: Hat Sizing: Waist Sizing: Medical Conditions: Vegetarian Meal? Yes No Emergency Contact: Emerg. Phone:( ) |
| Recruit
37 Name: Age: Gender: Male Female Uniform: Union Confederate Coat Sizing: Hat Sizing: Waist Sizing: Medical Conditions: Vegetarian Meal? Yes No Emergency Contact: Emerg. Phone:( ) |
Recruit 38 Name: Age: Gender: Male Female Uniform: Union Confederate Coat Sizing: Hat Sizing: Waist Sizing: Medical Conditions: Vegetarian Meal? Yes No Emergency Contact: Emerg. Phone:( ) |
| Recruit
39 Name: Age: Gender: Male Female Uniform: Union Confederate Coat Sizing: Hat Sizing: Waist Sizing: Medical Conditions: Vegetarian Meal? Yes No Emergency Contact: Emerg. Phone:( ) |
Recruit 40 Name: Age: Gender: Male Female Uniform: Union Confederate Coat Sizing: Hat Sizing: Waist Sizing: Medical Conditions: Vegetarian Meal? Yes No Emergency Contact: Emerg. Phone:( ) |
| Recruit
41 Name: Age: Gender: Male Female Uniform: Union Confederate Coat Sizing: Hat Sizing: Waist Sizing: Medical Conditions: Vegetarian Meal? Yes No Emergency Contact: Emerg. Phone:( ) |
Recruit 42 Name: Age: Gender: Male Female Uniform: Union Confederate Coat Sizing: Hat Sizing: Waist Sizing: Medical Conditions: Vegetarian Meal? Yes No Emergency Contact: Emerg. Phone:( ) |
| Recruit
43 Name: Age: Gender: Male Female Uniform: Union Confederate Coat Sizing: Hat Sizing: Waist Sizing: Medical Conditions: Vegetarian Meal? Yes No Emergency Contact: Emerg. Phone:( ) |
Recruit 44 Name: Age: Gender: Male Female Uniform: Union Confederate Coat Sizing: Hat Sizing: Waist Sizing: Medical Conditions: Vegetarian Meal? Yes No Emergency Contact: Emerg. Phone:( ) |
| Recruit
45 Name: Age: Gender: Male Female Uniform: Union Confederate Coat Sizing: Hat Sizing: Waist Sizing: Medical Conditions: Vegetarian Meal? Yes No Emergency Contact: Emerg. Phone:( ) |
Recruit 46 Name: Age: Gender: Male Female Uniform: Union Confederate Coat Sizing: Hat Sizing: Waist Sizing: Medical Conditions: Vegetarian Meal? Yes No Emergency Contact: Emerg. Phone:( ) |
| Recruit
47 Name: Age: Gender: Male Female Uniform: Union Confederate Coat Sizing: Hat Sizing: Waist Sizing: Medical Conditions: Vegetarian Meal? Yes No Emergency Contact: Emerg. Phone:( ) |
Recruit 48 Name: Age: Gender: Male Female Uniform: Union Confederate Coat Sizing: Hat Sizing: Waist Sizing: Medical Conditions: Vegetarian Meal? Yes No Emergency Contact: Emerg. Phone:( ) |
| Recruit
49 Name: Age: Gender: Male Female Uniform: Union Confederate Coat Sizing: Hat Sizing: Waist Sizing: Medical Conditions: Vegetarian Meal? Yes No Emergency Contact: Emerg. Phone:( ) |
Recruit 50 Name: Age: Gender: Male Female Uniform: Union Confederate Coat Sizing: Hat Sizing: Waist Sizing: Medical Conditions: Vegetarian Meal? Yes No Emergency Contact: Emerg. Phone:( ) |
| Recruit
51 Name: Age: Gender: Male Female Uniform: Union Confederate Coat Sizing: Hat Sizing: Waist Sizing: Medical Conditions: Vegetarian Meal? Yes No Emergency Contact: Emerg. Phone:( ) |
Recruit 52 Name: Age: Gender: Male Female Uniform: Union Confederate Coat Sizing: Hat Sizing: Waist Sizing: Medical Conditions: Vegetarian Meal? Yes No Emergency Contact: Emerg. Phone:( ) |
| Recruit
53 Name: Age: Gender: Male Female Uniform: Union Confederate Coat Sizing: Hat Sizing: Waist Sizing: Medical Conditions: Vegetarian Meal? Yes No Emergency Contact: Emerg. Phone:( ) |
Recruit 54 Name: Age: Gender: Male Female Uniform: Union Confederate Coat Sizing: Hat Sizing: Waist Sizing: Medical Conditions: Vegetarian Meal? Yes No Emergency Contact: Emerg. Phone:( ) |
| Recruit
55 Name: Age: Gender: Male Female Uniform: Union Confederate Coat Sizing: Hat Sizing: Waist Sizing: Medical Conditions: Vegetarian Meal? Yes No Emergency Contact: Emerg. Phone:( ) |
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
Electronic submission coming soon!