Registration Form

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Please complete the following information to register for the even then email your photo to annette@txcwcivilian.org If you would rather not register online you may print the form by using the link below the form and emailing it as an attachment to the email above.

Registration deadline for structure assignment: postmarked by April 30, 2011
Registration deadline for no structure assignment: postmarked by May 10, 2011

Households and military companies may register together; however, a photo and impression information must be submitted for each member. It is also understood that the primary registrant verifies that all members of their household or company has read, understands and agrees to comply with the guidelines and the primary registrant will be responsible for the conduct of their household or company.

 
First name:
Last name:
Email address:
Mailing address:

Phone numbers:

I am 18 or over
Civilian
Military
Both. Please explain
 
I wish to be assigned to a structure?
I am willing to be a head of household?

If you have a preference, please list your top three structure preferences.

Others you wish to be included in your household (i.e. children, spouse, other adult participant.)

Over 18?
Over 18?
Over 18?
Over 18?
Over 18?
Over 18?

Please describe your impression(s) including a brief background; occupation, if applicable; a description of your household, if applicable; and why your impression is at Henkel Square.

If your impression requires any special accomodation, please explain

Are there any medical conditions that we need to be aware of?

For individual registrations

I have read and understand the Henkel Square guidelines as posted on the Henkel Square Event page.

For group registrations

All adults have read, understand and agree to follow the guidelines as posted on the event page.
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