Northwest Civil War Council
Home
WHO WE ARE
ENLIST!!!
Artillery
Civilian
Confederate Battalion
Union Battalion
NCWC LEADERSHIP
Events
Cheadle Lake
Powerland Heritage Park
Battle for Clatsop County
Springfield Christmas Parade
Springfield Christmas Parade
Reenactor Information
Spectator Info
MEMBERSHIP
Individual Adult Form
Individual Minor Form
Multiple Minors Form
Family Membership Form
Adult Exempt Membership Form
Sutler Membership Form Family
Sutler Membership Form-Single Person
Printable Membership forms
Forms, Tests and Rules
News
Bugle Call
Forum
Donations
School Info
Links
Please fill out the form completely. All
RED
stars are required. If you have more than 8 children contact membership coordinator. Please read all instructions carefully. For 2 adults please fill in all Adult #2 spaces.
Northwest Civil War Council Family Membership Form 2023
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Indicates required field
Name of Adult #1
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First
Last
Adult #1 Date of Birth
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Adult #1 Phone
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Email
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Adult #1 Please choose one
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Military Combatant
Non Combatant or Civilian
Unit your family wishes to join
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enter only one unit
Name of Adult #2
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First
Last
Adult #2 Date of Birth
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Adult #2 Phone
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Adult #2 Email
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Adult #2 Please choose one
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Military Combatant
Non Combatant or Civilian
Adult #2 Unit (if different than adult #1)
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enter only one unit
Families Address
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Line 1
Line 2
City
State
Zip Code
Country
Child's Name
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First
Last
[object Object]
Child's Date of Birth
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Combatant (YES or NO)
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Child's Name
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First
Last
[object Object]
Child's Date of Birth
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Combatant (YES or NO)
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Child's Name
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First
Last
[object Object]
Child's Date of Birth
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Combatant (YES or NO)
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Child's Name
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First
Last
[object Object]
Child's Date of Birth
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Combatant (YES or NO)
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Child's Name
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First
Last
[object Object]
Child's Date of Birth
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Combatant (YES or NO)
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Child's Name
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First
Last
Child's Date of Birth
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Combatant (YES or NO)
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Child's Name
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First
Last
Child's Date of Birth
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Combatant (YES or NO)
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Child's Name
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First
Last
Child's Date of Birth
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Combatant (YES or NO)
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Name of Child(ren)'s Physician
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Child(ren)'s Physician's Phone Number
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Emergency Contact Name
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First
Last
Emergency Contact Phone
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GENERAL RELEASE OF LIABILITY-------------------------- I am fully aware of the nature and purpose of the activities of the Northwest Civil War Council (NCWC). I agree to be bound by the bylaws, rules and policies of the NCWC and to obey the direction of the governing officials at all NCWC events. I acknowledge that reenacting, black powder shooting, and related activities are hazardous, and that I have made a voluntary choice to participate. I agree to assume any and all risks of injury or death that may result from my participation in NCWC events. I agree to release, waive, and discharge from all liability to myself or to any of my family members, and promise not to sue the NCWC, its governing officials, its board of directors, or the owner or lessor of any property on which the NCWC conducts activity, whether caused by those parties, negligence or any other reason, for any injuries which may result form preparing for, practicing for, traveling to or from ,or participating in any NCWC event. I agree to indemnify and hold harmless the parties release above and each of them from any loss, liability, damage or claim they may incur due to my actions during NCWC events, whether caused by their negligence or otherwise. I understand that the NCWC's insurance protects the NCWC, not me. Accordingly, if I injure someone or cause property damage while participating in an NCWC event, the fact that the NCWC has insurance will not prevent the injured party from seeking compensation directly from me. It is my intent that this release be as broad and inclusive as allowed by law, and that if any portion is invalid the remainder shall continue in full force and effect. This release is entered into solely for NCWC events and does not confer a release upon any parties for their actions when not acting in furtherance thereof. --------------------------------Adult #1 I have read, understand and freely agree to the General Release and all its terms.-------------------------Sign in box below
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Date
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Adult #2 Signature: I have read, understood and freely agree to General Liability Release and all its terms.
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Date
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PARENT/GUARDIAN AGREEMENT OF MINOR PARTICIPATION---------------------- I am the parent or guardian of the minor(s) listed above. I give my permission for the minor(s) to join and participate in NCWC events. I agree with and hereby sign on behalf of myself and of the minor(s), The General Release of Liability above. I or the sponsor am 18 years of age or older and either I am, or the sponsor is, an active member of the NCWC. The minor(s) belongs in my or the sponsor's unit. I or the sponsor agree to attend every event the minor(s) attends and be responsible for the actions of the minor. ---------------------------------------------------------------------------MEDICAL CONSENT BY PARENT OR LEGAL GUARDIAN OF MINOR CHILD---------------- I, being the parent or legal guardian having legal custody of the minor child listed above and below, authorize the performance of all medical, surgical, diagnostic and hospital care, procedures or treatment, which may be performed or prescribed for the minor child by a licensed physician or hospital, when reasonable efforts to timely contact me are unsuccessful and when such care or procedures are deemed immediately necessary or advisable by the physician to safeguard the minor child's health--------------------------------------------------As the parent or legal guardian of the minor child(ren) listed above, I have read, understand and freely agree to all terms and conditions the Minor Participation Agreement, The Medical Consent by Parent or Legal Guardian of Minor Child Agreement as well as The General Release of Liability agreement. My Signature below confirms this for each child.--------------1st Child's name in the box below then Signature and date and each subsequent for each child.
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Parent/Legal Guardian Signature
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Date
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Child's Name Printed
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Parent/Legal Guardian Signature
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Date
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Child's Name Printed
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Parent/Legal Guardian Signature
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Date
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Child's Name Printed
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Parent/Legal Guardian Signature
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Date
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Child's Name Printed
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Parent/Legal Guardian Signature
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Date
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Child's Name Printed
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Parent/Legal Guardian Signature
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Date
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Child's Name Printed
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Parent/Legal Guardian Signature
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Date
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Child's Name Printed
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Parent/Legal Guardian Signature
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Date
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Comments
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If you need more than 1 parking pass per family please let me know.
Submit
Home
WHO WE ARE
ENLIST!!!
Artillery
Civilian
Confederate Battalion
Union Battalion
NCWC LEADERSHIP
Events
Cheadle Lake
Powerland Heritage Park
Battle for Clatsop County
Springfield Christmas Parade
Springfield Christmas Parade
Reenactor Information
Spectator Info
MEMBERSHIP
Individual Adult Form
Individual Minor Form
Multiple Minors Form
Family Membership Form
Adult Exempt Membership Form
Sutler Membership Form Family
Sutler Membership Form-Single Person
Printable Membership forms
Forms, Tests and Rules
News
Bugle Call
Forum
Donations
School Info
Links