Atenveldt Name Submission Form College of Heralds for Individuals

Atenveldt
College of Heralds
Name Submission Form
for Individuals
Society Name .........................................................................................................................................................
+ Name being submitted
(if different from above) .......................................................................................................................................................
Name Type (pick one)
Primary
Address (complete) .................................................................................................. Alternate +
Household +
(incl. city, state, zip) ..................................................................................................
Other (specify) +
Action Type
New
Resubmission ++
Kingdom
Laurel
Change+, if registered:
Branch Name ................................................ Gender of Submitter
M
F
release old name
Phone Number .............................................. Date of Birth.................................... _____________
retain as alternate
E-mail Address .............................................. Date Submitted...............................
Change of
Holding Name +
Consulting Herald.......................................... Herald'
s E-mail/Phone...................................................
Appeal (attach
++ Name(s) previously submitted
justification)
but not registered (if any) ........................................................................................................................
Other (specify)
++ Kingdom submitted from: ........................................................... ++Date returned: .............................. ______________
Legal name.............................................................................................................
Name processing criteria. Read these carefully. Laurel may need to make changes in order to register the name.
MAJOR changes include: adding/dropping a name element, changing an element’s language, changing the order of elements.
MINOR changes include: accents, punctuation, hyphenation, addition or deletion of a letter, upper-lower case changes, etc..
I will NOT accept MAJOR changes to my name, even if the name cannot be registered without such changes.
I will NOT accept MAJOR or MINOR changes to my name, even if the name cannot be registered without such changes.
Note: Leaving both boxes blank indicates that you will accept both major and minor changes in order to register your name.
If my name must be changed, I care most about:
meaning
sound
spelling
language and/or culture
(Please specify "meaning", "sound", “spelling” or "language and/or culture" desired) ......................................................................................................
The desired gender of my name is:
male
female
don'
t care
[OPTIONAL] Please CHANGE my name to be authentic for: .........................................................................................
Please be specific, e.g. '
12th-14th century'or '
Irish'or ‘Welsh’, rather than saying '
early'or
language and/or culture
'
late'or '
Celtic'
. Please do not select this option if you do not wish changes to your name.
time period
If you are, or will soon be, submitting another item (such as a device, badge, or household name):
If the Laurel Sovereign of Arms finds that your name cannot be registered for any reason, and you do not already have a name
previously registered, Laurel may create a "holding name" for you so that your other item can be registered. This holding name will
be treated as your registered name until you register an acceptable name. There is no fee for changing a holding name.
I will NOT allow the creation of a holding name. I understand that if my name submission is returned, then my other
submission(s) will be returned as well.
Name Documentation and Consultation Notes (attach additional sheets and documentation as needed.)
I have seen and approve of the contents of this submission: Submitter’s legal signature: .................................................
Instructions: Give three copies to your local herald. Make checks / money orders payable to payable to your local branch or "Kingdom of Atenveldt,
SCA, Inc.".
Amount Received
Date Received
Action Taken
Amount Forwarded
Date Forwarded
Local
Kingdom
Laurel
Laurel v. 2.0; Atenveldt v2.1 (Laurel Approved [26 Jun 2008])