Canton Civil War Days - Online Registration Form

Click here to download and print the registration form if you prefer.

Online Reenactors Registration

(*) denotes a required field

Your Personal Information

First Name(*)

Invalid Input

Last Name(*)

Invalid Input

Address(*)

Invalid Input

City(*)

Invalid Input

State(*)

Invalid Input

Zip Code(*)

Invalid Input

Phone(*)

Invalid Input

Email

Invalid Input

Your Emergency Contact Information

Emergency Contact(*)

Invalid Input

Emergency Phone(*)

Invalid Input

Your Military Information

Unit Information(*)

Invalid Input

Unit Designation

Invalid Input

Rank

Invalid Input

Any Additional Information?

Invalid Input