Membership Application First Name (required) Last Name (required) Your Email (required) If we do not have your current email we cannot confirm your membership or add you to our mailing list for notices and renewal reminders. Please remember to update us if you change your email address. Address (required) City (required) State or Province (required) Country (required) Zip or postal code (required) Home Parish (required) Diocese (required) Age (required) Sex (required) malefemale Occupation (required) Telephone Area of Historical Weapons Interest? Prior Martial Arts Training Past historical combat / martial arts organization affiliation or membership Present historical combat / martial arts organization affiliation or membership Have you read through, understand and agree to the Order of Lepanto Code of Chivarly and Conduct? yesno Are you applying individually or as part of a group? individualgroup If group membership - which group? How did you learn about us?