Civilian Registration Form
Please fill this form out completely.
Name
Unit Affiliation
Address State Zip
Home Phone
Email (Required)
I
(the undersigned) declare that I have read and agree to abide by
all the rules
and regulations for this event.
X
Please remit $5 to cover insurance and miscellaneous costs. Make checks payable to Kathleen Musser. Mail to:
Laura Harding
1000 Brinker Dr. - Unit 202
Hagerstown, MD 21740
All proceeds will be donated to the Friends of South Mountain State Battlefield.
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