Your phone number (area code):
Address:
City/Town:
State/Prov.: Post./Zip Code:
Country:
What name would you like to go by within the realm?
What persona would you like to become in the realm? i.e. knight, peasent, lord, etc.
Would you be interested in attending realm activities in North Alabama? (not required) Yes, I Would No, I Can't Maybe, I Don't Know
Do you have any period skills? Yes No Don't Know
Are you interested in training for any of the period skills? Yes No Don't Know
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