GRAND ROGUE LIVING HISTORY ENCAMPMENT APPLICATION FORM

PARTICIPANT & TRADER

PLEASE SUBMIT THIS FORM BY SEPTEMBER 1

(A separate form is required for each individual or each Family Group (husband/wife, children), NO Unit Registration. TRADERS must submit photographs of their setup & goods for adjudication and will be invited by committee to attend and there will be a fee depending on the size of the set up). First time participants need to send pictures of themselves in period clothing and their camp set-up.

_____PARTICIPANT (Camping on-site)      _____ TRADER (Tent or Blanket  _____WALK ON (Please Note: Walk-on participants must  register)

DATE (Please Print): ___________________________                                                      DID YOU ATTEND LAST YEAR?     YES         NO

LAST NAME __________________________________________ FIRST NAME _____________________________ MIDDLE INITIAL: ______

STREET ADDRESS:_____________________________________________________________________________________________________

CITY ______________________________________________________________          STATE:  __________ ZIP CODE______________

PHONE:  (Area Code first) _________________________________ E-MAIL: ______________________________________________________

IF A FAMILY GROUP, NAMES___________________________________________________________________________________________

TIME PERIOD:__________________________________________________________________________________________________

UNIT: ___________________________________________________________________              COMMANDER: _________________________

NUMBER ATTENDING:_______      NUMBER UNDER ARMS: _______   NUMBER FOR SATURDAY STEW: ______

CAMPING: _____ PERIOD     _____MODERN     _____ MOTEL MILITIA                  NUMBER OF TENTS: __________ FLY? ________

(Modern campers planning to stay at Grand Rogue Campground, please contact the office for a site (616) 361-1053, discounts are available to participants)

TENT DIMENSIONS:   Tent One ____________________________________(with ropes) ________________ _____     Fly:  ________________

                                        Tent Two _____________________________________(with ropes) ____________________      Fly _________________

DAY OF ARRIVAL:  _____FRIDAY  _____SATURDAY:  _____SUNDAY 

I acknowledge that I have read and agree to the rules: (Signature): ______________________________________________________________

The Grand Rogue Campground and the West Michigan Living History and Education Association are not responsible for any accidents, injury, loss or damage.

PLEASE SUBMIT THIS FORM BY SEPTEMBER 1

MAIL TO: Grand Rogue Living History Encampment        INFORMATION REQUESTS: 

                   c/o Gary & Helen Granger                                  www.grandrogueencampment.com

                   P.O. BOX 41

                   Corunna, MI 48817

                   E-mail: Registration@grandrogueencampment.com