Please PRINT Clearly
Character Name: ______________________________
Race: ________________ RPGA Number: _________
Level:____ I AM / AM NOT Squeamish about graphic horror.
Secret Faction: _______________________________
Fort Sv Mod: ____ Fort 1: ___ Fort 2: ___ Fort 3: ___
Ref Sv Mod: ____ Ref 1: ___ Ref 2: ___ Ref 3: ___
Will Sv Mod: ____Will 1: ___ Will 2: ___ Will 3: ___
Spot Mod: ____ Spot 1: ___ Spot 2: ___ Spot 3: ___
Listen: ____ Listen 1: ___ Listen 2: ___ Listen 3: ___
Sense Motive: ____ SM 1: ___ SM 2: ___ SM 3: ___
Init Mod: ____ Init 1: ___ Init 2: ___ Init 3: ___
AC: _____ Flat footed: _____ Touch: _____HP: _____
I have the following items (Circle): Nocht, Favor of the Silence, Chosen of the Silence, Brazen Idol, Strange Icon, Skiz, Unworthy of the Silence, The Gladius of Light, Golden Bee of Planarch