Fields marked with an * are required fields

First Name:*
Last Name:*
Street Address:*
City:*
State:*
Zip code:*
Phone #:*
Group or Business:
E-mail address:*

1. Please circle the type of individual you will be re-enacting:* Native       Settler         Sutler           _________Other 2. Do you have an authentic type of tent or shelter?* Yes       No 3. If you are a sutler, are your sleeping quarters a separate shelter?* Yes       No 4. Will you be presenting a demonstration/seminar?* School Day            Saturday/Sunday

Please provide an emergency contact name and telephone number:*

Please describe the subject of your demonstration/seminar (if applicable):

For Sutlers: Please provide a description of your merchandise

Please send color photographs of your clothing, shelter, and merchandise with completed application.

I have read the application and agree to abide by its conditions. I understand the authenticity committee reserves the right to examine merchandise, accoutrements, and clothing. Items not meeting authenticity requirements will need to be changed or removed.