2008 Defenders Day at North Point
                                                Sunday, August 31, 2008
                                        PRE-REGISTRATION FORM
Pre-registration for this event serves several purposes:
1) It allows us to plan for facilities, meals preparation and any available stipends.
2) As this event commemorates real historical events, we want to assure that potential participants portray
military/naval forces or civilians of the War of 1812 period.
3) The event has attracted significant public attendance in the past two years. So safety and enjoyment of the
event for all visitors and participants is everyone's priority. All participants are subject to review and safety
inspection at the event.

Mail completed forms to :
                    Event Registration
                    c/o J. Dugent
                    331 S. Clinton Street,
                    Baltimore, MD 21224-2322
____________________________________________________________________________________
                                POINT-OF-CONTACT INFORMATION:

Please provide point-of-contact information for you or your group. If your group will have multiple portrayals,
use a separate form for each designated as a point-of-contact. This will only be used for contacting you with
event-related information.

Primary Contact / Group Leader Name: ___________________________________________

Note: If you are under age 18 and you are not accompanying adult participants, then you must be under
responsible-adult supervision at the event. Show your responsible adult's contact information.
Name of accompanying adult: _____________________________________

Contact Address/Phone/email of group leader (or responsible party):

Street or PO box: ___________________________________________

City: ___________________________ State: ______ Zip: _______

Daytime phone: _____-_____-__________ Evening Phone: _____-______-_________

Primary email ______________@__________ Secondary email _________________@________

Preferred method of contact: mail phone email smoke signal
_______________________________________________________________________________________
INFORMATION ABOUT YOUR GROUP'S PORTRAYAL:

Please provide information about your character/portrayal/group. This information may also be used in event
publications or announcements. Please approximate the number of individuals for this portrayal in your group,
using "# ____" below. If your group is primarily military but you will also have 'camp followers', also include the
camp follower information further below.

These counts are not binding on you or event sponsors, but are necessary for planning.

If your group consists of different service-branch portrayals, please use separate form for each branch portrayal.
If contact information will be the same regardless of how many portrayals, you need not repeat contact info on each form.

Group/Portrayal Name: _________________________________________________________________

MILITARY: please check/circle ALL that apply:
                    [ ] United States (American) Forces                             [ ] Crown (British) Forces

Historical Service Branch:
                            Infantry             Cavalry             Artillery
                            Naval                 Marines             Other (please specify) _________________________

Unit Type:             Regular # _______
                            Embodied, levied Militia in Federal/State or Crown service # _______
                            Music # _______
                            Independent (specify, e.g. irregular forces) ________________ #______

Camp-followers accompanying a military unit: # _______

CIVILIAN:
[ ]         Trades or craft demonstrators # _____     specify: e.g. blacksmith, musician, weaver, etc. ____________________

[ ]         Citizen: # __________  specify: e.g. politician, citizen, ladies/dames, waif, etc. ________________________

[ ]         Sutler or Tinker, intending to conduct sales to the public.
            Notes: This does not apply to persons not engaged in commerce, such as selling only a few items campware,
            reenacting clothing or accouterments.

At this time, this event does not offer a period "faire" or "market" setting. So if you are portraying a sutler
and wish to actively engage in selling merchandise or wares deemed correct for this period, then also
include a business card, or business letterhead stationary. The card or letterhead should show business name
and information. Please also indicate the type of period merchandise or goods you would like to offer.

We will contact you if necessary or activity is restricted or limited due to licensing requirements.

Chesapeake 1812 December 2007