Name

Address

City                                                                 State                                        Zip

Phone (            )                                  Email (print clearly)

Vehicle: License #                                          State           Color                    Make

Do you plan on participating in the battle?       Yes _______    No _______

HRS Identification # __________________        TSG Identification # ______________________

Other unit Identification # ______________        (List organization) 

BRING I.D. CARD WITH YOU TO THE PROGRAM

List any health or medical information the committee should be aware of:

106^th Cav Recon

2^nd Panzer

5^th Ranger Batt E Co.

B Co. 502 Para Inf 101^st

11 SS Nordland Feldgendarmerie trupp 11

2^nd Rangers, Baker Co.

5^th SS Wiking

Baker Co. 5^th Ranger Batt

116^th Inf., 29^th Div

2^nd SS Das Reich

6^th Corp Radio Command Post

Battaglione Alpini Sciatori Monte Cervino

11^th Field Hospital

303 Bomb Group, US Army

6^th SS Gebirg Div

BTL 9^th Sept

12^th Army Grp HQ WAC

327^th GIR 101^st AB

70^th Tank Battalion

C Comp 502 101^st Air

14^th Armor Infantry

34^th Inf Div. U.S. Army

715^th ID Panzerjager AB

China Marines

165^th Signal Photographic

353^rd Infantrie Div

722 FK (German)

Co A 506 101^st US

19^th Volkssturm

401 GIR, 101^st AB C Co

82^nd AB 504^th

Coldstream Gds.

41 Royal Marine (British)

84^th ID Railsplitters

Duke of Cornwall’s Inf

1^st ID Co L

46^th Medical Hospital

87^th MIR, 10^th Recon

F/K Co 325^th GIR 82^nd AB

1^st Polish Brigade Para

4^th Div 10^th Rep Depot

90^th ID 359 Reg

Fallschirmjager Reg. 19

1^st SS LAH

4^th Gebirgsjager

95^th Rifles Russian

First Infantry Division

1^st US I.D.

4^th ID 8^th RGT, D Co Inf

9^th ID

First Special Service Force

20^th Engineer Combat Bn

501^st Parachute Inf Reg.

9^th Panzer Motorcycle Batt

G Company 506^th 101^st A/B

216^th MP Company

502 Para Inf 101^st B Co.

9^th Parachute Regiment Co. A

German Afrika Korps impr

21^st Panzer

505^th PIR 82^nd Airborne

9^th SS Hohenstaufen

Gross Duetchland 5^th Kompaine

22 I.R. 4^th I.D.

506^th PIR Co Hq

9^th SS Pz Div

Herman Goering

2629^th WAC Battalion

509^th Para Infantry Batt

A Company 506

No. 10 Commando, British

29^th ID MP Platoon

53^rd Provost Co. Brit MP

Able Co. 506 PIR/ 101 Div

S-2, 7^th Inf Reg. 3^rd Inf Dv

2^nd Inf Div

5^th Armored Division

ARC/ASG

Third Motorized German Inf

U.S. 1^st Div. 16^th Rgt. L. Co

Unit commander’s name (required)    ________________________________________________

Note:  CO or a representative of the unit must attend and be responsible for the unit.  No individual reenactors.

Specialized impression (describe)

MP Impression __________            I will help in safety and crowd control Yes________  No ________

I will participate in the uniform demonstration and share information with the public on:

Saturday at 12:15 p.m._______   Sunday at 12:15 p.m._______.  (If you check one or both of these times you will be contacted).

No modern camping permitted – List the number of tents following the description:

GP Medium (squad tent 16x12)   _______     Pup Tent (6x6) ________       M1936 Pyramidal (16x16) ________

GP Small (hexagonal tent 12x12) _______    Officers Wall Tent/Supply Tent (12x8) _________

Number of period vehicles ______________ Describe each period vehicle (use other side if needed)

Must show proof of liability insurance (include insurance information here).  BRING INSURANCE CARD WITH YOU.

Insurance company____________________________________ Policy number ___________________________