The Imperial Sovereign Court of All Connecticut - Membership Application
Thank you for your interest in the ISC of All CT. Please take a moment to answer some questions. When finished, please click "Submit" at the bottom of the page. Your application will be submitted to the Board of Directors for review.
Please provide your first name *
Please enter just your first name
Please provide your last name *
Please enter just your last name
Your address, please? *
Enter your address
City *
State *
Zip *
Telephone Number *
Email Address *
Date of Birth (mm/dd/yy) *
Please enter your date of birth using the above format
Proof of Residency *
What is the name of the member who is sponsoring you?
What is your "Drag" or "Performance" Name?
If applicable
Which line would you like to join? *
Required
How did you hear about The Court? *
Tell us a bit about how you came across us.
What qualifications or skills do you have that would be an asset to The Court? *
Tell us more about what you'd like to bring to the table.
What are some ideas you have for fundraising events? *
Are you able to attend at least three benefits per year? *
Do you have your own transportation? *
Have you ever been or are you currently a member of an Imperial Court, Barony or Ducal Society? *
If yes to the above, please tell us when, where and your title
Please tell us your reason for leaving
(If you were a member of another Court, Barony or Ducal Society tell us what happened that caused you to leave)
Have you ever been convicted of a crime other than a traffic violation? *
If yes, please explain.
By signing this application, you are indicating that you are supporting the Imperial Sovereign Court of All Connecticut Inc, and that you will read and agree to abide by the bylaws, policies and procedures, and other documents governing the rules of this organization. You also agree to abide by the Code of Conduct as outlined in the Policies and Procedures. Submission of this application does not constitute automatic enrollment. You will be notified upon the review and acceptance of your application. Membership dues will be payable each year following the acceptance of this application. Please indicate whether you have read and understood this paragraph. *
Clicking one of the choices below equates to an ink signature.
NON-DISCRIMINATION POLICY: As stated by the International Court System, The Imperial Sovereign Court of all Connecticut, Inc. members will not discriminate against any person or persons on the basis of age, gender, gender presentation, race, color, ethnicity, national origin, sexual orientation, religion, creed, marital status, or physical and/or mental disability in any of its activities or operations. The Imperial Sovereign Court of all Connecticut, Inc. will not tolerate any violation of this Policy, and appropriate action will be taken, including the removal of membership status in the Imperial Sovereign Court of all Connecticut, Inc. and International Court System. If an individual believes he/she is being discriminated against, the Board of Directors may be contacted on a confidential basis. The matter will be investigated and appropriate actions may be taken. *
Clicking one of the choices below equates to an ink signature.
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.