PWT Membership Registration

First Name(required)

Middle Name(required)

Last Name(required)

Maiden Name

Email(required)

Contact Number(required)

Civil Status(required) Single Married Divorced/Separated Widow/er

Gender(required) Male Female LGBTQ

Date of Birth(required)

Place of Birth(required)

Home Address(required)

Educational Attainment(required) Elementary Level/Graduate High School Level High School Graduate College Level College Graduate

Name of School in College

Course in College

Date or Year Graduated

Spouse's Name

How many children do you have?

Father's Complete Name(required)

Mother's Complete Maiden Name(required)

How many children do your parents have (including you)(required)

What is your current Religion(required)

What Magickal Tradition/s do you follow?

What is your Religious or Craft Name (Ex.: Raven Claw)

Are you a member of any Esoteric or Occult/Craft Group?(required)

Yes No

Name of Occult Group (if any)

Who is your Patron God or Goddess? (e.g., Mother Mary, Goddess Isis, Hekate, Gaia, God Lugh, Mercury)

Do you or have you celebrated any of the 8 Wiccan Sabbats and/or Moon Esbats?(required)

Yes, always Once or twice Sometimes Never

How long (years) have you been a practitioner of the Craft?

From whom did you receive your training?

Do you want to undergo the WICCANING CEREMONY(required)

Yes, I want to be baptized as Wiccan and embrace the religion of Wicca No. Not yet, I am still undecided

Why did you join The Path of the Wise Temple? What are your expectations?(required)

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