Re-Enactor Registration

All fields are required to properly process your registration. Registration is for individuals only. All participants over the age of 18 must register individually.

First name:
Last name:
Address:
City:
Province/State:
Postal/Zip:
Telephone #: ( )
Email:
We value your privacy. Your email address will only be used by the Prescott Loyalist Days Committee to communicate with you regarding the Re-enactment event. We will not share your email address without your permission. If you do not want to receive email from the Prescott Loyalist Days Committee regarding the Re-enactment event, leave the space above blank.
Unit Portrayed:
Rank:
Unit Insurance Company or Personal Insurance Policy No.:
Enter the number of camp followers or children attending. 
Do not include yourself.   Please enter 0 if no one is attending.
Camp followers:
Children:
Do you require a fire pit tray?
(digging of fire pits is not allowed):
Indicate which meals you will require:
(we can not provide your meals unless you pre-register)

Tent Style:

Size (including ropes, if applicable):
Artillery:
Size:
Quantity:
  I agree to abide by Parks Canada historic weapons and encampment safety regulations (provided upon arrival, or in advance upon request), for the duration of this event. My signature registers me as a Parks Canada volunteer for living history activities at Fort Wellington National Historic Site of Canada, from August 19-21, 2011.