APPLICATION FOR 2011 WHITEMARSH ENCAMPMENT – TROOPS

Whitemarsh Encampment 2011
Hope Lodge Historic Site
553 South Bethlehem Pike
Fort Washington, PA 19034

Name of Unit
Commanding officer
Mailing Address
Phone
Fax
Email
Participation, November 5 and 6, 2011	Sat. & Sun. Saturday only Sunday only
Participants (approx.)
Camp followers (approx.)
I am willing to provide a talk, demonstration, or presentation on my unit
I am willing to repeat the talk, demonstration, or presentation
Special requirements or needs
Liability insurance with a combined single limit of $1,000,000 for bodily injury and property damage is required for your participation in the 2011 Whitemarsh Encampment Re-enactment. Please mail your certificate to the address below.
Insurance company
Certificate number
I accept the Rules and Regulations