Membership Application
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There is NO requirement that you be of the Wiccan or Pagan Faith. All We demand is an open heart and mind.
Full Name:
 Preferred Name
Craft Name (If Applicable)
Street Address
Zip Code
State
City
Alternate Phone (cell/work)
Home Phone
Email Address
Do you have family members who are members of the House of Akasha?
Yes
 No
Current Age
Birthdate:Month/day/year
How long have you studied/practiced wicca or paganism?
(Years/months)
How do you currently practice? (Ex: Solitary, Dyad, Coven, etc..
Yes
 No
Have you ever officially achieved a rank (with a coven or through a HP or HPS?)
How would you Primarily Describe you spiritual path? (Ex: Celtic, Norse, Greek, Roman, Asatru, etc...)
No
Do you accept the tenants of the House of Akasha as stated in the Constitution and Bylaws? Yes
If no, why?
What do you hope to achieve through membership with the House of Akasha?
Would you be willing to help out on one of Akasha’s committees? Yes
No
Is there anything else you would like to share with the council?
Printable Application
Please Mail to
House of Akasha
P.O.Box 5822
Greensboro, NC 27435
A person interested in membership will have a six month period to attend six HOA events which can include
but are not limited to: rituals, board meetings, ritual planning, workdays, and fundraisers. The six months
following will be a trial period. The potential new member will be responsible for paying $10 dues for this one
year period. After a year and a day the person will be voted on for membership status.
experience with Akasha as fulfilling as possible.
All member dues are $120.00 a year or $10.00 per month If paid in advance Member Dues are $100.00 for the year. Payment must be made in full to
receive discount. Please mail dues once your application has been accepted.
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*We take privacy very seriously. At NO time will any of the following information be shared outside the Church Administration without
your express written consent.