Please enter your contact information and certification expiry dates in the form below.
Your SCA name, mundane name, branch, chirurgeonate rank and Email address¹ will be displayed in the roster. All other contact information is only accessable to the Kingdom Chirurgeon and deputies.

Note 1:

Email addresses are stealthed and cannot be harvested from our website by spam-bots. If you still feel you do not wish to have your Email address displayed, please leave the primary address blank and enter your contact address it in the "Alternate Email" field. Note that this will make it impossible for others to contact you via the website.

Why are you filling out this form?
Select a Reason To update my existing entry. To add my data to the Roster.