WASAGA UNDER SIEGE
 

Wasaga under Siege
July 23rd, 24th, 25th 2010

Registration Form

Individual and Immediate Family Registrations Only!!
No Group Registrations!! (Unless Pre-Approved)

Name:
EMAIL Address: (ie: username@csolve.net)
Address:
City:
Province/State:
Postal/Zip Code:
Phone Number:
Troops:
Camp Followers:
Children:
Unit/Sutler:
Participated in 2009 Event:  Yes: No: How Many:
Participated in 2008 Event:  Yes: No: How Many:
Participated in 2007 Event:  Yes: No: How Many:
Insurance Company:
Insurance Policy:

WAIVER AND RELEASE

I hereby release and forever discharge Nancy Island Historic Park, Town of Wasaga Beach,  its agents and assigns, and their employees from any and all actions, causes, claims and demands for damages, loss of injury, howsoever arising, which may hereafter be sustained, by myself, members of my family and of our organization and waive all rights thereto. 
Name:
Date:

Please Hit The Submit Button Once When Completed
Your registration will be confirmed momentarily.
Your registration will also be confirmed by email.
 

2010 The Historic Military Establishment of Upper Canada.
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