2019 Camp Geiger Civil War Days June 1st - 2nd
$10 Registration Fee (Until May 15th)
$15 Registration Fee (After May 15th)
Commander & Unit or Regiment: __________________________________________________
Organization Affiliation (ANV, USV, UV, PACS, AOP, Longstreet) __________________________
*If more space is needed please use page provided at the below*
Infantry: US ______ CS: _____
Cavalry: US Mounted _________ # of Horses _________ US Dismounted ________
CS Mounted _________ # of Horses _________ CS Dismounted ________
US Artillery: __________ # of Pieces __________ Gun Type ______________________
CS Artillery: __________ # of Pieces __________ Gun Type ______________________
Authentic Dependents: US Military Camp ______ CS Military Camp ______
Make checks payable to: Friends of Camp Geiger
Send completed form and fee to:
7444 Franks Drive
Bath, PA 18014
Use your Venmo account to send payment to Darlene Brosky with a memo with your name and unit for registration.
NAME’S FOR REGISTRATION CONT.
Release from Liability Form
Each registered participant MUST SIGN a separate form.
Families may sign one form. Parents must sign for their minor children and include name and age.
RELEASE FROM LIABILITY: I, the undersigned, do hereby certify that I am voluntarily registering and participating in the event / reenactment of “Lehigh Valley Civil War Days”, hence forth referred to as “the event”, to be held May 31st – June 2nd, 2019 at the Whitehall Parkway, Whitehall, PA.
I fully recognize the danger to battle reenactments, especially those on naturally occurring and improved terrain, involving large numbers of infantry, cavalry, and artillery, and do, hereby specifically assume the risk of financial loss resultant from bodily injury, including death, to myself or of loss of personal property due to attendance and or participation at this event and likewise take full responsibility for any damage or injury caused by myself, my property or livestock in my possession or care for the event. I also take full responsibility for any and all loss of my property for any reason including theft.
I further stipulate that, in my opinion, the organizers of this event have taken every precaution to make this event as safe as possible, but fully realize that the organizers, The Friends of Camp Geiger, are no insurers of my safety. I hereby agree to hold harmless Whitehall Township, their staff, officers and employees, as well as the organizers, staff, volunteers, the participants (including participants equipment, property and livestock) and spectators of this event, for any injury or financial loss of any kind, including death, received or suffered by me or my heirs due to my presence at, or participation in, this event.
I do hereby authorize the release of any and all Medical Reports incurred by myself to The Friends of Camp Geiger for the sole purpose of insurance necessities.
I also hereby affirm that I assume full financial and legal responsibility for myself and my family members resulting from, and pertaining to, any afore mentioned situation.
PHOTO RELEASE: Each of the undersigned being fully aware that all photographs and footage taken at said event, “Civil War Days”, shall become sole property of Friends of Camp Geiger. NO Photographs, videos or film footage shall be reproduced for profit making purpose without the express permission of Friends of Camp Geiger. In signing the forgoing release, the undersigned hereby acknowledges and represents that he/she is over the age of legal consent and not a minor, and is of sound mind.
Name (Print) ____________________________________________________________
Car make, model and License Number______________________________________________________
All Personal Information is kept confidential and for the exclusive use of Friends of Camp Geiger.
Also no reenactor is allowed to set up camp before Friday NOON. We do not have permission before then from the township and the insurance will not cover any accidents prior to the date set for the event.