Event Registration

Please complete the form below - all fields in bold or outlined in red are required.

Event Information

  is the name of the event I am registering for.  If other:  

Reenactor (Participant) Information

Rank I am a member of the 2nd Rangers Infantry Battalion.
First Name Phone Number ( ) -
Middle Initial Phone Type Cell Home
Last Name E-mail Address
Suffix (Jr., Sr., III, etc.) I would like to be signed up for the 2nd Ranger Newsletter.
Date of Birth / / (MM/DD/YYYY) I am under 18 years old.
Mailing Address (opt.) State
City Zip Code
Your Legal Signature (Your Initials) Date Signed / / (MM/DD/YYYY)

** Your mailing address is optional.

Parent / Guardian Information

If you are under 18, please have your Parent or Guardian complete this section.

First Name Date of Birth / / (MM/DD/YYYY)
Middle Initial Phone Number ( ) -
Last Name Phone Type Cell Home
Legal Signature (Your Initials) Date Signed / / (MM/DD/YYYY)

 

Unit Information

Unit's Name
Unit C.O.'s Rank
Unit C.O.'s First Name
Unit C.O.'s Last Name
Unit C.O.'s Phone Number or E-mail
Unit's Campsite Number (if applicable)

 

Emergency Contact Information

First Name Phone Number / /
Last Name Phone Type Cell Home

 

Optional Emergency Medical Information

This is entirely optional. Regardless of whether or not you choose to provide this information please ensure that you have any necessary medication on hand should an emergency occur. Please also keep on hand sufficient water and extra clothing.

Do you have any health conditions we should know about that may require special consideration (ie. bee allergy requiring an epi-pen, pacemaker, heart problems).



Rules and Regulations

I have read the rules related to the event and will abide by them (required).
I have read the authenticity regulations and will abide by them (required).
I have read the safety regulations and will abide by them (required).
I am legally prohibited from owning and/or using a firearm.
I have completed a gun safety course.

Photo Release

Yes No I hereby grant to the U.S. 2nd Rangers Infantry Division of St. Louis, Inc. and to its employees, agents, and assigns the right to photograph myself and/or dependent and use the photo and/or other digital reproduction of him/her and/or other reproduction of his/her physical likeness for publication processes, whether electronic, print, digital, or electronic publishing via the internet.

Volunteer Information

I would like to volunteer to help at the event (completely optional).

   If you checked that you would like to volunteer, how would you be willing to volunteer? (ie. set-up, clean-up, registration, etc.)

   

Spam Protection Question

Please enter the missing word in lowercase letters ( way ) : Rangers, lead the ! (required)