(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_______________
PLEASE DO NOT ANSWER SECTION B UNTIL WE GO OVER ALL STUDENT AND MEMBERSHIP INFORMATION
******************************************************
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.