End-Of-Quarter Martial Activity (Fighter Practice) Waiver Report Form
Each group in the Kingdom of Atlantia is required to submit this form on a quarterly basis, to indicate the status of waivers signed at non-event martial activities (AKA fighter practices) within the group. It must be completed regardless of whether the group has a Knight Marshal, or whether any such activities/practices were held within that quarter.

If the group has a Knight Marshal, he/she is responsible for submitting this form. If the group does not have a Knight Marshal, the Seneschal of the group is responsible for filling out this form. The submitter is responsible for conferring with all group marshals to ensure the report is accurate.

This form must be submitted according to the traditional reporting deadlines for the end of each quarter:

April 15 for Q1 (January 1 - March 31)
July 15 for Q2 (April 1 - June 30)
October 15 for Q3 (July 1 - September 31)
January 14 for Q4 (October 1 - December 31)

Basic Information
Use this section to enter the year and quarter for which you are reporting, as well as what types of (non-event) martial activities were held during that quarter.
Group Name
Your answer
Year
Your answer
Quarter
Did your group hold any of the following official martial activities, OUTSIDE OF EVENTS, during this time period? (Example: fighter or equestrian practices)
Please check the boxes next to the types of activities held during the quarter ("None" if none were held).
Required
Were any waivers signed at the above martial activities?
If you held no martial activities (answered "None" to the above) select "No".
Knight's Marshal Information
If your group has no Knight's Marshal, write "NONE" in the "Marshal's Legal Name" and "Marshal's SCA Name" fields.
Marshal's Legal Name
Your answer
Marshal's SCA Name
Your answer
Street Address
Your answer
City
Your answer
State
Your answer
ZIP
Your answer
Phone Number
(optional but helpful)
Your answer
Day or Night Phone?
Marshal's Email Address
Your answer
Additional Marshal Information
*If more than one marshal supervised fighter practices for your group, please list marshal information for additional marshals.
Your answer
Seneschal Information
If the Seneschal is filling out this form, please enter all information. Otherwise only the Legal Name, SCA Name and Email fields are required.
Seneschal's Legal Name
Your answer
Seneschal's SCA Name
Your answer
Street Address
Your answer
City
Your answer
State
Your answer
ZIP
Your answer
Phone Number
(optional but helpful)
Your answer
Day or Night Phone?
Seneschal's Email Address
Your answer
Certification Information (No Waivers for Quarter)
Complete this section IF:
- Your group held no martial activities for the quarter, OR
- Your group held martial activities BUT no waivers were signed/collected.

I certify that no fighter practice waivers were signed during this period.

Legal Name (No Waivers)
Your answer
Submitted Electronically On
MM
/
DD
/
YYYY
Certification Information (Waivers Forthcoming)
Complete this section IF your group held martial activities for the quarter AND you collected waivers at this activities.

I certify that waivers were collected at my group's martial activities for the quarter, AND these waivers will be sent to the Waiver Secretary by the due date (15 days after the end of the quarter).

Waivers should be sent to:

Ellen Badgley
attn: Waivers
6899 Ridge Water Ct.
Centreville, VA 20121

Legal Name (Waivers Forthcoming)
Your answer
Submitted Electronically On
MM
/
DD
/
YYYY
Any additional information?
Use this section to add any additional information you wish to report to the Waiver Secretary.
Your answer
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