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Re-Enactors/Participants Registration Nota Bella: Tourists and Visitors Need Not Register. If you or your group are planning on attending this event, please feel free to fill out the form below or click here to download a PDF registration form. (PDF documents are readable if you have Acrobat Reader installed. This is available for both Macintosh and IBM (Intel/Microsoft) computers. It's a FREE package and can be downloaded by clicking here. Please note: If you use the "online" registration below, Acrobat Reader and downloading the form are not necessary. If more information is needed or you have any questions, comments, or concerns, please feel free to e-mail your comments or thoughts to backusmill@psican.org Nota Bella: Please register by August 27th to ensure meal tickets for Saturday evening supper. Please fill out this form to the best of your abilities... Remember, this is for re-enactors, re-enactment groups, suttlers, and living historians only. Please enter your name below... Please enter your e-mail address (if applicable) below... Please enter your FULL address below... Please include city/town, province/state, country, and postal/zip code... Please enter your phone number with areacode below... Are you registering as... Individual: Unit: Please enter unit's/suttler Name below... Please enter unit commander's name (if applicable) below... Please enter the number of people attending (including yourself... leave box empty if not applicable...) Troops: Camp Followers: Children: What type of camping would you be using? Period/Historical: Modern: Day Tripping: Mixed (Please Specify in E-Mail): If you are using "mixed" camping facilities, please see the "comments box" at the bottom of this form and specify your needs or comments. Will you be bringing muskets/black-powder rifles? Yes: No: If you are bringing muskets, please use the space below to tell us how many and what size... Will you be bringing canon or artillery? Yes: No: If you are bringing any form of artillery, please use the space below to tell us how many and what size... PLEASE NOTE: All persons firing muskets/black-powder rifles and/or are members of a canon crew require insurance. Insurance Company: Insurance Policy: Please read and select the applicable box... "I, [the person filling out this form,] will allow myself to be photographed and/or interviewed for possible broadcast or publication." I agree: I do not agree: Do you have any special requests or concerns? Can we try to accommodate you in any way to make your experience a good one? Please feel free to use the space below for any suggestions, ideas, questions, concerns, kudos, or comment and we will do our best to make this event the best it can be for the living historians who participate. Thank you for filling out our form. By clicking "Send Form" below, you are stating that the above information has been filled out as accurately as possible and that you have answered all questions and are sure that the information provided is correct. You will hear back from one of the officials of the Backus Mill Event for 2008 with confirmation or any details if requested. Before clicking "Send", please ensure your name, e-mail address (if applicable), phone number, and address are correct so we will not have any difficulty contacting you in the future. Thank you very much again for your interest. If you have not heard back from someone from the Backus Mill Event acknowledging receipt of this form within ten business days, please contact Sandra DeYoung at backusmill@psican.org IF YOU HAVE FINISHED THE FORM AND HAVE READ THE ABOVE THOROUGHLY, PLEASE CLICK "SEND FORM" BELOW. Click Here to return to the Backus Mill Event Homepage

For more information, please e-mail us at backusmill@psican.org