Officer’s Quarterly Report

If you are currently serving as a Distinctive Religious Group Leader, At-Large Officer, or currently lead a Civilian Open Circle, you are required to fill out the following form to submit your quarterly report. The report should be filled out NO LATER THAN the 1st day of the month following the Equinox or Solstice (ie. Yule/Winter Solstice Report is due 01 JAN). Thank you.

Report Information

Officer Contact Information

Chaplain Information

Rituals, Events, & Activities

Sign & Send

Fields marked with an * are required.

Report Quarter*

Report Year*

Group Name*

Group Type*

Officer Title*

Officer Name*
Group URL

Officer Address*

City*

State*

Zip Code*

Country*

Officer Phone*

Officer Email*

Other Contact Information
Other Officers and DTP Students covered by this report

If you are not affiliated with a Military group, this section will appear blank and you may skip ahead to Rituals, Events, & Activities

Name & Rank of Supporting Chaplain*
Chaplain's Address*

City*

State*

Zip Code*

Country*

Chaplain's Phone*

Chaplain's Email*

Please include all Rituals, Events, & Activities hosted or attended by your group this quarter.

Date

Time

Event Title
Location
Principle Officer

Number of Attendees

Total Attendees of All Events for the Quarter*
Events and Activities Scheduled for Next Quarter
Other Relevant Information (include donations/offerings by group)

Please use your mouse or finger (on touchscreen devices) to sign in the signature box below. By signing, you acknowledge and agree that this is a legal representation of your signature for all purposes just the same as a pen-and-paper signature.

Preparing Officer's Signature*

Date*

Documents

Please attach copies of rituals, briefings, minutes, or other relevant documentation in a single file (.pdf, .doc, .docx, .png, or .jpg):

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