Language
English (UK)
Español
Correllian Tradition Membership Application
Legal Name
*
First Name
Last Name
Craft Name (optional)
Date of Birth
*
-
Month
-
Day
Year
Date
Email
*
example@example.com
Mailing Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Home Phone
*
-
Area Code
Phone Number
Please give the name of the Temple/Shrine/Order/Study Group you belong to if applicable.
In 25 words or less, why do you want to be Outer Court
*
Do you agree to support and follow the beliefs and practices of the Correllian tradition regardless of your other teachnings, beliefs, practices, or affiliations? I Agree
*
Yes
No
Are you willing and able to maintain an active involvement with the Correllian tradition, and work collaboratively and cooperatively with other members of the Tradition and the Administration? I Agree
Yes
No
I have re-read all that I have written and agree that it is all accurate to the best of my belief and understanding. I Agree
Yes
No
Submit
Should be Empty: