Application for Intermediate Course
Application for Intermediate Course
First Name 
Last Name 
This information is required if you plan on participating in the next course that will require payment via paypal. Name must match up with paypal. We process the applications that come in first without any additional delays. If your application requires us to change a name, contact back and forth, verify additional info; your application will be placed on the bottom. 
Email Address 
Youtube Name 
This information is required in order to watch the videos. These are private videos and in order to view them your youtube name must be on the list.
Your Element 
Have you ever been in a coven ? If yes, what was the tradition?
Have you ever been in a circle? If yes, was it eclectic or a tradition?
What is your time zone?
Example: Eastern Standard Time (EST), Central Standard Time (CST), Mountain Standard Time (MST), Pacific Standard Time or Outside of US, etc.
How long have you had an interest in the Craft?
What is your Age group?
Please tell us about yourself. Why you have chosen to learn Paganism?
Try to keep it under 2 paragraphs.
Please tell us your current view on wicca.
Please tell us 2 books that you found to be helpful in the craft?
If you haven't read any, just skip this.
Select all that fits you.
(Participated as in doing one of these, casting the circle, inviting the guardians.)
If you have dedicated yourself. Please tell us the Deity and why you dedicated yourself?
Which title if any would you prefer at this juncture of your craft?
Are you currently....?
Please check all items that you have.
Please check that you will follow the rules for the Youtube Videos.
Please check that you will follow the rules regarding the password to this course.
Please check that you acknowledge the requirements. 
Please check your commitment to this course.
Your information is only shared with the women who are teaching this course.

Your application will be reviewed and a acceptance email will be sent out to you within 48 hours. Those who are approved; we will first add your youtube name to our private videos.  Then your confirmation email is sent to you with the password for the course . 

    If you have submitted the wrong youtube name; your application will be put on hold for 24 hours. An email will be sent out to you immediately for you to send the correct youtube name back to us within that 24 hours. At that time we will try to add you again. 
   If it fails, or you fail to return the information within 24 hours back to us. Your application will be denied. 

   If you did not provide all the information that is being requested on this form. (ex. an illegal name) your application will be denied. So please make sure your information is true and complete as requested for this course, before submitting.

  Once you submit the form, and you decide to change something and submit another form. Your application may be denied or put on hold for the next time we may offer this course. 
Please read carefully before hitting the submit button
EarthAirFireWater
YesNo
YesNo
18 to 21
22 to 26
27 to 31
32 to 37
38 to 43
44 to 48
49 to 55
56 to 59
60 & up
Under a year
1 to 2 years
3 to 5 years
6 to 10 years
11 & Up
I prefer to keep my practice secret.
I have been mentored before.
I have done some spells on my own.
I consider myself christian-pagan
I consider myself wiccan.
I have participated in a ritual before.
I am truly brand new to all of this, but feel it is my calling.
I'm on the fence about being a Pagan.
I have dedicated myself to a Deity.
Book of Shadows
Athame
Pentagram Jewerly
Wand
Smudging feather
Crystal stone
Sage
Patchouli
Mugwort
Myrhh
Frankencense
Sea salt
Altar
Incense
New Age store near you that you can get supplies.
On line store that you get supplies.
Bell
Cloak
Lavender
Staff
Essential Oils
Cauldron
Yes, I meet and acknowledge the requirements for this course.No, I do not meet the requirements for this course.
I will follow the rules and not give out the password to this course.I will not follow the password rule.
I will not share the videos and understand if I do, I will be remove from the course. I don't want to follow this rule on sharing the videos.
I will do my best to follow, learn and do the work required in this course, in the amount of time given.I can not commit to this course.