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(c) Adrian Empire, Inc. Page 1 of 4 http://www.adrianempire.org

Name: Persona

Members need only to fill in date and location

COMBATANT ROLL 1EXACT DATE LOCATION ON DATA BASE FOR ROLLS

Yeoman Yes or No Minister Only

Membership Member in good standing

Authorizedby Knight Combatant (or 2 Sergeants) & Minister of War/Joust to enter Sergeant's List

Guardsman Event #

ParticipationParticipate in (3) Sergeant's List tournaments

1 Yes or No

2 Yes or No

3 Yes or No

Sergeant

Participation:Participate in (5) additional Sergeant's List tournaments

1 Yes or No

2 Yes or No

3 Yes or No

4 Yes or No5 Yes or No

Wins: (1) tournament win on a Sergeant's List

1 Yes or No

Demonstrations: Participate in (2) demonstrations

1 Yes or No

2 Yes or No

Authorizedby Knight Combatant & Minister of War/Joust to enter Knight's List

Knight Bachelor

Participation:Participate in (10) Knight's Lists tournaments

1 Yes or No2 Yes or No

3 Yes or No

4 Yes or No

5 Yes or No

6 Yes or No

7 Yes or No

8 Yes or No

9 Yes or No

10 Yes or No

Wins: (1) tournament win on a Knight's List

1 Yes or No

Demonstrations: Participate in (3) additional demonstrations1 Yes or No

2 Yes or No

3 Yes or No

Wars: Participation in (1) war

1 Yes or No

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(c) Adrian Empire, Inc. Page 2 of 4 http://www.adrianempire.org

Name: Persona

Members need only to fill in date and location

COMBATANT ROLL L2EXACT DATE LOCATION STEEL OR RENN ON DATA BASE FOR ROLLS

Yes or No Minister Only

Knight Banneret EVENT #

Participation:Participate in (18) Knight's List tournaments (at least 8 must be Armored)

1 Steel or Renn Yes or No

2 Steel or Renn Yes or No3 Steel or Renn Yes or No

4 Steel or Renn Yes or No

5 Steel or Renn Yes or No

6 Steel or Renn Yes or No

7 Steel or Renn Yes or No

8 Steel or Renn Yes or No

9 Steel or Renn Yes or No

10 Steel or Renn Yes or No

11 Steel or Renn Yes or No

12 Steel or Renn Yes or No

13 Steel or Renn Yes or No

14 Steel or Renn Yes or No15 Steel or Renn Yes or No

16 Steel or Renn Yes or No

17 Steel or Renn Yes or No

18 Steel or Renn Yes or No

Wins: (5) additional tournament wins on a Knight's List (at least 3 must be Armored)

1 Steel or Renn Yes or No

2 Steel or Renn Yes or No

3 Steel or Renn Yes or No

4 Steel or Renn Yes or No

5 Steel or Renn Yes or No

Demonstrations Participate in (5) additional demonstrations

1 Yes or No2 Yes or No

3 Yes or No

4 Yes or No

5 Yes or No

Wars: Participate in (5) additional wars

1 Yes or No

2 Yes or No

3 Yes or No

4 Yes or No

5 Yes or No

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(c) Adrian Empire, Inc. Page 3 of 4 http://www.adrianempire.org

Name: Persona

Members need only to fill in date and location

MBATANT ROLL L3EXACT DATE LOCATION STEEL or RENN ON DATA BASE FOR ROLLS

Yes or No Minister Only

ht Champion EVENT #

Participation: Participate in (36) Knight's List tournaments (at least 16 must be Armored)

1 Steel or Renn Yes or No

2 Steel or Renn Yes or No3 Steel or Renn Yes or No

4 Steel or Renn Yes or No

5 Steel or Renn Yes or No

6 Steel or Renn Yes or No

7 Steel or Renn Yes or No

8 Steel or Renn Yes or No

9 Steel or Renn Yes or No

10 Steel or Renn Yes or No

11 Steel or Renn Yes or No

12 Steel or Renn Yes or No

13 Steel or Renn Yes or No

14 Steel or Renn Yes or No15 Steel or Renn Yes or No

16 Steel or Renn Yes or No

17 Steel or Renn Yes or No

18 Steel or Renn Yes or No

19 Steel or Renn Yes or No

20 Steel or Renn Yes or No

21 Steel or Renn Yes or No

22 Steel or Renn Yes or No

23 Steel or Renn Yes or No

24 Steel or Renn Yes or No

25 Steel or Renn Yes or No

26 Steel or Renn Yes or No27 Steel or Renn Yes or No

28 Steel or Renn Yes or No

29 Steel or Renn Yes or No

30 Steel or Renn Yes or No

31 Steel or Renn Yes or No

32 Steel or Renn Yes or No

33 Steel or Renn Yes or No

34 Steel or Renn Yes or No

35 Steel or Renn Yes or No

36 Steel or Renn Yes or No

Wins: (10) additional tournament wins o n a Knights List (at least 6 must be Armored)

1 Steel or Renn Yes or No2 Steel or Renn Yes or No

3 Steel or Renn Yes or No

4 Steel or Renn Yes or No

5 Steel or Renn Yes or No

6 Steel or Renn Yes or No

7 Steel or Renn Yes or No

8 Steel or Renn Yes or No

9 Steel or Renn Yes or No

10 Steel or Renn Yes or No

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(c) Adrian Empire, Inc. Page 4 of 4 http://www.adrianempire.org

Name: Persona

Members need only to fill in date and location

MBATANT ROLL L3EXACT DATE LOCATION STEEL or RENN ON DATA BASE FOR ROLLS

ht Champion,

emonstrations Participate in (15) additional demonstrations

1 Yes or No

2 Yes or No

3 Yes or No4 Yes or No

5 Yes or No

6 Yes or No

7 Yes or No

8 Yes or No

9 Yes or No

10 Yes or No

11 Yes or No

12 Yes or No

13 Yes or No

14 Yes or No

15 Yes or NoWars: Participate in (10) additional wars

1 Yes or No

2 Yes or No

3 Yes or No

4 Yes or No

5 Yes or No

6 Yes or No

7 Yes or No

8 Yes or No

9 Yes or No

10 Yes or No