African American Civil War Museum
USCT Descendant Registration Form
If you have several ancestors that served in different regiments please use another form.
USCT Ancestor/s Name
Regiment/s:
Company
Location on Memorial Wall
Rank In/Out
Family Information
Name:
Address:
City
State
Email
Phone Number:
Zip
I would like to do a presentation on my ancestor
What day and time would you like to do your presentation? (All descendant presentations are
conducted on the first Saturday of every month at either 11:00 am or 1:00pm. Please specify
time if you have a preference. If they date and time is available you will receive a confirmation for
your date)
The museum often films descendants presentations, when a videographer becomes available, and
photographs such events. The African American Civil War Museum reserves the right to use these
photos and films in news releases, the museum’s website, museum-related video, presentations,
marketing purposes, publications etc. The museum displays photos, and shares video presentations
to promote programming and to assist in research on the United States Colored Troops.
I grant the African American Civil War Museum permission to film my descendants
presentation and permission to use such presentation
No Please do not film my descendants presentation
Please attach an ancestry chart to show your relationship to the soldier. If you have any other
documents that you would like to provide the museum with please email or mail a copy to the
museum:
African American Civil War Museum
Attn: USCT Descendant Documents
1925 Vermont Ave, NW
Washington, DC 20001
[email protected] (subject line USCT Descendant Documents)
202-667-2667 Phone
202-667-6771 Fax
Signature
Date
For Staff Only:
Date of Presentation:
Title:
Description:
Tags:
Each month the African American Civil War Museum invites a descendant of a United
States Colored Troop Soldier to share their ancestor’s story.
For an opportunity to present on your USCT Ancestor visit the African American Civil
War museum online at www.afroamcivilwar.org.
US History, American History, African American History, Black History, Veterans,
USCT, United States Colored Troops, Civil War, History
Descendants Name:
Mail Film to:
Certificate Provided:
YES
No
Notes: