Chatelain(e) Report (Local Group)
PLEASE TAKE NOTE:
Fields with a red asterisk are required.
Your completed form is sent to the current Kingdom Chatelaine and your own e-mail address.
Reporting Period
*
Nov - April (Due June 1)
May - Oct. (Due Dec. 1)
Region
*
choose one
Constellation
North Oaken
South Oaken
Midlands
Pentamere
Choose one
SCA Name
*
Modern Name
*
Membership Number
*
Membership Expiration
*
1
2
3
4
5
6
7
8
9
10
11
12
MM
/
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
DD
/
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
YYYY
Email
*
Phone Number
*
###
-
###
-
####
Street Address Line 1
*
Street Address Line 2
City
*
State
*
Zip Code
*
Number of Local Groups in Region
*
Number of Groups reporting this period/b>
*
Chatelaine meetings held this period
*
Describe any meetings held: (Well attended? What was discussed? etc.)
*
State of Region: (i.e., Groups retaining and attracting members? Positive Community Presence through Demos or Community Relations? Unique or effective strategies employed by local groups?)
*
Problems within the Region: (Challenges, overall concerns, obstacles you are facing within your region)
*
What I did LAST reporting period
*
Overall goals for the region
*
Comments
*
Other
*
Image Verification
Please enter the text from the image
:
[
Refresh Image
] [
What's This?
]
Form programmed by
Genoveva von Lubeck