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Profile Questionnaire

SECTION A

(Real)Name_________________

(Craft)Name__________________

Birth date:__-__-__ Phone #___-___-____

Email address:

Street Address:___________________________________________

Please answer the following questions the best you can:

How long have you been interested in the Craft/Paganism?________________

What traditions or paths are you most interested in?___________________________________________________
_______________________________________

Have you been in a coven or study group (past or present)?________________________________________

What conflicts, work schedules, or other personal commitments do you have that could interfere with coven meetings and/or training?______________________________________________
___________________________________________________

Do you smoke, drink, or take illegal drugs(NOTE:you don't lose points for being honest)?________________________

Are you allergic to any of the following: cats, incense, oils, nuts, fruits, juice/wine, or any other important allergies you wish to mention_______________

SECTION B

PLEASE DO NOT ANSWER SECTION B UNTIL WE GO OVER ALL STUDENT AND MEMBERSHIP INFORMATION
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Please check one of the following:
You are interested in...
__Student training to become a member
__Student training to learn more about Paganism and/or Witchcraft but not become a member
__Membership as a non-beginner
__Branch-membership as a non-beginner
__none of the above

Please check one of the following:
__I am interested and would like to go on to the next step.
__I would like to think about it and I will get back to you within ___(days, weeks, months)
__I am NOT interested at this time but keep me in mind for future open houses and/or events.
__I am NOT interested and do NOT wish to receive any more announcements.