Kanawha Valley Arena Civil War Re-enactment

540-789-2084

www.virginiarodeo.com

REGISTRATION FORM

Please Return with Payment to:

121 Kanawha Ridge Road

Dugspur, Virginia 24325

(Make checks payable to Kanawha Valley Arena)

Pre-Registration $8.00 pp- $10.00 walk-on day of the event. Children 12 and under FREE!!!

Unit Name:____________________________________________________________________

Branch:_______________________________________________________________________

Commander’s Name: ___________________________________________________________

Address:______________________________________________________________________

Phone Number/ E-mail: _________________________________________________________

Contact Person (if other than Commander):___________________________________________________________________

Address and Phone Number:_____________________________________________________

Number of Participants

FEDERAL CONFEDERATE

Infantry_____________ ____________________

Artillery_____________ ____________________

Mounted Cav_________ ____________________

Dismounted Cav ______ ____________________

Civillian Impressions

Men________________ Women____________________ Children_______________________

Specialized Impression__________________________________________________________

QUESTION Please Contact Jody South 704-619-2480 or Neva Smith 336-648-4554