"Fire on the Genesee" 
Civil War Encampment 

May 19 to 21, 2006, Castile, New York  

Unit/Individual Registration Form 
(Please, print this form and follow mailing directions.) 

Unit or Individual Name:                                                                US.            CSA.               

Type of Unit (infantry, artillery, cavalry, medical, sutler, etc.)                                                 

Unit Commander:                                                                     Phone:                                                                             

E-Mail:                                                                                                                                                                                      

Contact Person:                                                                         Phone:                                                                           

 Address:                                                                                                                                                                                

 City:                                             State:           Zip:                                                                      

Number of Participants: Military:                    Civilian:                                                        

If Artillery, Number of Guns:                Type/Size:                                                                                   

                              (All Artillery Units Pre-registered will receive bounty) 

Authentic Camp: Number of Tents:              Type:                                                                                

Number Bales of Straw:                                                                                                          

Modern Camp: Number:                                                                                                                                          

Sutler Space Needed:                                                                                                                  

Number of Bales of Hay Needed:                                       Number of Horses:                                               

 (Mounted Cavalry, hay for horses)

Note: All Horses should have shot and cogent records ready for inspection upon arrival.

Pre-registration fee: $5.00 per participant 12 and older- by May 1, 2006

At the event, fee is $8.00

All participants must be listed on the registration and have signed the New York State Park Volunteer Services Agreement.

All fees are non-refundable.

If you are planning on coming in after 9:00AM on Saturday. 
Please pre-register or you may have to pay the park entrance fee. 

Send the completed Registration forms and a check, payable to: Diana Bucknam, to:
Mrs. Diana Bucknam
235 S. Main Street
Perry, New York   14530

                                                 Please list the names of participants and their affiliation: 

List all persons with your unit, rank, or first-person impression, etc.
Use additional sheet if needed.