Glenwood Civil War Encampment/ Skirmish Registration Form

                                         October 3 - 4, 2025

 

NAME: _________________________________________________

 

ADDRESS: ______________________________________________

 

TOWN: _________________________________________________

 

STATE: _______________________ ZIP ______________________

 

UNIT: ________________________ RANK: ____________________

 

UNION:   (    )     CONFEDERATE (   )   FENIAN * (   )

*: Must also mark Union or Confederate for camp assignment.    

 

MILITARY (   )      CIVILIAN (   )        SUTLER (  )  

 

BATTALION:   UV   MG   USV   ANV  OTHER: _______________

 

PHONE:  (             )                                      

 

 

 

 

 

PLEASE PRINT THIS FORM AND MAIL TO:

 

           JOHN COVERT

           55 MAIN STREET APT 3

           HACKETTSTOWN, N.J.   07840

 

 

REGISTRATION FEE:

$15.00 until August 15th.  $20.00 until October 1st.  Make Checks Payable to "Pam Covert" and mail to: John Covert 55 Main Street Apt 3 Hackettstown NJ 07840.  Money goes towards event expense.

 

I PLAN TO CAMP:   FRI ONLY    SAT ONLY   BOTH   NOT CAMP