​         ​150th PVI Bucktails


​​​​​​​REGISTRATION FORM


THE 24TH ANNUAL BUCKTAIL REUNION
5TH ANNUAL MUSTER IN THE PARK
*THIS IS A COMBINED EVENT*
LABOR DAY WEEKEND
SEPTEMBER 1ST, 2ND, 3RD, 2017
903 DIAMOND PARK, MEADVILLE, PENNSYLVANIA, 16335



Name:  ____________________________________________________________


Spouse/Other:  ______________________________________________________


Child/Children:  ______________________________________________________


Email:  _____________________________________________________________


Home Address:  ______________________________________________________


Telephone Number:  (     ) ___________________ Total Number Attending:  ______   


Any Allergies?  _____________  If so, please list:  ____________________________


Any Medical Conditions? ______  If so, please list:  ___________________________


Emergency Contact: _____________ Telephone Number:  (     ) _________________  


Physician:  ____________________  Telephone Number:  (     ) _________________


Insurance Provider:  _______________________  Policy Number:  _______________


How many tents? ______________ Types? ______________   Flys?  _____________


Unit Affiliation:  ___________________________   Rank:  ______________________


Displays or Impressions?  ________  If so please specify:  ______________________


Registration for the Reunion and Muster will be $10.00/person, which includes pizza on Friday evening, Saturday and Sunday Breakfast and Saturday’s evening meal.  This will be reimbursed at registration to help ease some of your travel expenses when you pick up your packet.  If you fail to attend, the registration will be used to defer the Reunion costs.

Reunion T-shirts must be pre-ordered and will be available for pick up at registration for $15.00 each.  Please specify size and include the correct amount with your registration form.  


Small  ____   Medium  ____  Large ____  XLarge _____ XXLarge ____ XXXLarge ____


Checks for T-shirts and registration fees (these amounts can be combined) can be made out to “150th Bucktails/Muster In The Park”.  If you are unable to attend the Reunion, but would like to purchase a T-shirt, please contact me for shipping costs to your location.  Registration forms and checks should be mailed no later than June 1, 2017 to:

Robert L Mattocks
℅ Registrations
12768 State Highway 198
Guys Mills, PA  16327

If you have any questions, please feel free to contact me by email at 150thpvibucktails@gmail.com.  Also, make sure to check out our website for more information and updates at www.150thpvibucktails.com.

Kindest Regards,

Bob







Printable 24th Annual Bucktail Reunion Registration Form

Print Friendly and PDF