Application Form
Your information will not be shared with anyone outside of Societas Via Romana.
If you encounter any problems while filling out this application form, contact the Curatores
here
.
*
indicates a required field
BASIC INFORMATION
First name:
*
Last name:
*
Email address:
*
Instant Messenger & Personal Identifier:
Street Address:
*
City:
*
Region (Province or State) & Country:
*
Date of Birth (e.g. 15/06/1960):
*
RELIGIO
If you are an adherent of the Religio Romana, or otherwise a religion from the classical era : which gods do you consider your patron gods?
CHOOSING A ROMAN NAME
(For more information on Roman names
click here
.)
Choose a Gender:
*
Female
Male
Choose a Praenomen (first name):
*
Choose a Nomen (family name):
*
Choose a Cognomen (nickname):
Press Generate:
*
Press Romanize (optional):
Your Roman name is:
LEGAL OBSTACLES
I affirm that there is no
legal obstacle
to my becoming a member of the Societas Via Romana.
*
Yes
PORTALE
|
FOIRE
|
COLLEGIA
|
CHAT
|
MEMBRES
|
REGVLAE
|
CONTACT
© 2001-2024 Societas Via Romana