Name: Persona

Members need only to fill in date and location

COMBATANT ROLL 1
EXACT DATE LOCATION ON DATA BASE FOR ROLLS
Yeoman Yes or No Minister Only
Membership Member in good standing
Authorized by Knight Combatant (or 2 Sergeants) & Minister of War/Joust to enter Sergeant's List

Guardsman Event #
Participation Participate in (3) Sergeant's List tournaments
1 Yes or No
2 Yes or No
3 Yes or No
Sergeant
Participation: Participate in (5) additional Sergeant's List tournaments
1 Yes or No
2 Yes or No
3 Yes or No
4 Yes or No
5 Yes or No
Wins: (1) tournament win on a Sergeant's List
1 Yes or No
Demonstrations: Participate in (2) demonstrations
1 Yes or No
2 Yes or No
Authorized by Knight Combatant & Minister of War/Joust to enter Knight's List

Knight Bachelor
Participation: Participate in (10) Knight's Lists tournaments
1 Yes or No
2 Yes or No
3 Yes or No
4 Yes or No
5 Yes or No
6 Yes or No
7 Yes or No
8 Yes or No
9 Yes or No
10 Yes or No
Wins: (1) tournament win on a Knight's List
1 Yes or No
Demonstrations: Participate in (3) additional demonstrations
1 Yes or No
2 Yes or No
3 Yes or No
Wars: Participation in (1) war
1 Yes or No

(c) Adrian Empire, Inc. Page 1 of 4 http://www.adrianempire.org

 Name: Persona
Members need only to fill in date and location
COMBATANT ROLL L2
EXACT DATE LOCATION STEEL OR RENN ON DATA BASE FOR ROLLS
Yes or No Minister Only
Knight Banneret EVENT #
Participation: Participate in (18) Knight's List tournaments (at least 8 must be Armored)
1 Steel or Renn Yes or No
2 Steel or Renn Yes or No
3 Steel or Renn Yes or No
4 Steel or Renn Yes or No
5 Steel or Renn Yes or No
6 Steel or Renn Yes or No
7 Steel or Renn Yes or No
8 Steel or Renn Yes or No
9 Steel or Renn Yes or No
10 Steel or Renn Yes or No
11 Steel or Renn Yes or No
12 Steel or Renn Yes or No
13 Steel or Renn Yes or No
14 Steel or Renn Yes or No
15 Steel or Renn Yes or No
16 Steel or Renn Yes or No
17 Steel or Renn Yes or No
18 Steel or Renn Yes or No
Wins: (5) additional tournament wins on a Knight's List (at least 3 must be Armored)
1 Steel or Renn Yes or No
2 Steel or Renn Yes or No
3 Steel or Renn Yes or No
4 Steel or Renn Yes or No
5 Steel or Renn Yes or No
Demonstrations Participate in (5) additional demonstrations
1 Yes or No
2 Yes or No
3 Yes or No
4 Yes or No
5 Yes or No
Wars: Participate in (5) additional wars
1 Yes or No
2 Yes or No
3 Yes or No
4 Yes or No
5 Yes or No

(c) Adrian Empire, Inc. Page 2 of 4 http://www.adrianempire.org

 Name: Persona
Members need only to fill in date and location
COMBATANT ROLL L3
EXACT DATE LOCATION STEEL or RENN ON DATA BASE FOR ROLLS
Yes or No Minister Only
Knight Champion EVENT #
Participation: Participate in (36) Knight's List tournaments (at least 16 must be Armored)
1 Steel or Renn Yes or No
2 Steel or Renn Yes or No
3 Steel or Renn Yes or No
4 Steel or Renn Yes or No
5 Steel or Renn Yes or No
6 Steel or Renn Yes or No
7 Steel or Renn Yes or No
8 Steel or Renn Yes or No
9 Steel or Renn Yes or No
10 Steel or Renn Yes or No
11 Steel or Renn Yes or No
12 Steel or Renn Yes or No
13 Steel or Renn Yes or No
14 Steel or Renn Yes or No
15 Steel or Renn Yes or No
16 Steel or Renn Yes or No
17 Steel or Renn Yes or No
18 Steel or Renn Yes or No
19 Steel or Renn Yes or No
20 Steel or Renn Yes or No
21 Steel or Renn Yes or No
22 Steel or Renn Yes or No
23 Steel or Renn Yes or No
24 Steel or Renn Yes or No
25 Steel or Renn Yes or No
26 Steel or Renn Yes or No
27 Steel or Renn Yes or No
28 Steel or Renn Yes or No
29 Steel or Renn Yes or No
30 Steel or Renn Yes or No
31 Steel or Renn Yes or No
32 Steel or Renn Yes or No
33 Steel or Renn Yes or No
34 Steel or Renn Yes or No
35 Steel or Renn Yes or No
36 Steel or Renn Yes or No
Wins: (10) additional tournament wins onn a Knights List (at least 6 must be Armored)
1 Steel or Renn Yes or No
2 Steel or Renn Yes or No
3 Steel or Renn Yes or No
4 Steel or Renn Yes or No
5 Steel or Renn Yes or No
6 Steel or Renn Yes or No
7 Steel or Renn Yes or No
8 Steel or Renn Yes or No
9 Steel or Renn Yes or No
10 Steel or Renn Yes or No
(c) Adrian Empire, Inc. Page 3 of 4 http://www.adrianempire.org
 Name: Persona
Members need only to fill in date and location
COMBATANT ROLL L3
EXACT DATE LOCATION STEEL or RENN ON DATA BASE FOR ROLLS
Knight Champion,
Demonstrations Participate in (15) additional demonstrations
1 Yes or No
2 Yes or No
3 Yes or No
4 Yes or No
5 Yes or No
6 Yes or No
7 Yes or No
8 Yes or No
9 Yes or No
10 Yes or No
11 Yes or No
12 Yes or No
13 Yes or No
14 Yes or No
15 Yes or No
Wars: Participate in (10) additional wars
1 Yes or No
2 Yes or No
3 Yes or No
4 Yes or No
5 Yes or No
6 Yes or No
7 Yes or No
8 Yes or No
9 Yes or No
10 Yes or No

(c) Adrian Empire, Inc. Page 4 of 4 http://www.adrianempire.org