Participant Registration


Crossroads of Texas Living History Association

Goliad Massacre – Presidio La Bahia, Goliad Texas


March 26-27, 2011


Each Combatant must register themselves.


Name(s) and Age (s) (if a family, include all ):                                                                                                                           ____________________________________________________


Street Address:                                                                                                


City:                                         State:              ZIP:                             




Current Email:                                                                       


Home Unit Name or “Individual”:                                            


Medical Conditions (include medicinal allergies [i.e.: aspirin, penicillin, lead, etc]:                                                                                                         _____________________________

Adult participant must sign


Signature _____________________________Date ____________________


Presidio La Bahia

Gonzales Pioneer Village

Texas Folklife Festival 

date to be determined

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