Guild of Withie and Woolmongers Registration Form

A Middle Kingdom Textile Artisan Guild

Our registration form provides information to help organize classes, projects, contests, the guild mentoring program and other guild activities. For information to be listed on the guild website you must also fill out the permission to publish personal information form. Please send completed forms to Guild Steward.

PART I: PERSONAL INFORMATION


Legal Name: ________________________________________________________________________

SCA Name: ________________________________________________________________________

Mailing Address: _______________________________________________________________________

_______________________________________________________________________

_______________________________________________________________________

Phone Number: __________________________(home)__________________________ (work)

E-mail address: ________________________________________________________________________

Local SCA group: ______________________________________________________________________

Please fill out the permission to publish personal information form if you would like to have it listed on the website:

PART II: PERSONAL INTERESTS


The term Textile Artisans covers a wide range of fiber related interests. Sharing your interests allows us to better plan classes, arrange for mentors and general dissemination of information. Please fill out as completely as possible.


Is there a specific area you would like to develop skills in?

_____________________________________________________________________________________________

What fiber arts do you currently practice? __________________________________________________________________________________________________

__________________________________________________________________________________________________

_____________________________________________________________________________________________


Are you comfortable teaching classes? If you already teach classes, please provide a copy of your class handout.
__________________________________________________________________________________________________

_________________________________________________________________________________________________

PART III: GEOGRAPHICAL INFORMATION


What events do you attend on a regular basis?
__________________________________________________________________________________________________

__________________________________________________________________________________________________

__________________________________________________________________________________________________


How far are you willing to travel?
__________________________________________________________________________________________________

__________________________________________________________________________________________________

Would you be interested in obtaining crash space from a guild member?
_________________________________________________________________________________________________

Smoking _________________ Non smoking_____________

Other needs ___________________________________________________________________________________________

_____________________________________________________________________________________________


Thank you for your time! If you have any questions, please feel free to contact the Guild Steward via Email. Please return this form to the address listed for the Guild Steward.



Permission to Publish Personal Information

We would prefer to have at least stared items filled out.




I, _______________________________, being known in the Society for



Creative Anachronism, Inc., as ___________________________________, do



hereby affirm that I give the    Guild of Withie and Woolmongers    permission to



publish the following information about me on the Internet:



* SCA Name:_________________________________________________________



Modern Name:______________________________________________________



Address:__________________________________________________________



City:_____________________________ State:_________ ZIP:___________



Phone:____________________________________________


* Email:____________________________________________



Web page:_________________________________________________________



* Activities/Interests:_____________________________________________



__________________________________________________________________



__________________________________________________________________



* Awards:___________________________________________________________



Signed this ___________ day of _____________, being _________ Gregorian.









Sign legal name here:_____________________________________________






Midrealm Home Page