Officer Information Update & Release

I hold the following office(s) and I am releasing the information noted above for publication in relation to (select at least one):
Archery Marshall (Target)Archery Marshall (Combat)BaronageChatelaineChirurgeonChroniclerExchequerHeraldKnight MarshallMOASMOLQuartermasterRapier MarshallSeneschalWar LordWeb MinisterYouth Activities

Please note: Modern and SCA names and email address are required for identification purposes.
Modern Name (required):

SCA Name (required):

SCA Title:

Email Address (required):

Address:

Home Phone:

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Please leave this field empty.

I understand that SCA policy states "It is permissible to list a person's Society name in connection with any office they hold without specific consent, as well as official office e-mail addresses such as webminister@sca.org."