SFA Box# 5354
Nacogdoches, Texas 75962
There is a $5.00 Processing fee is also the first part of Donations.
Please Print.
Name: _______________________________________________________
Address: __________________________________________City:__________________
State: _______________ Zip Code: ___________________
Phone Number: (_____) _____-_______ Birthday (MMDDYYYY) ________________
E-Mail address: _________________________________________________
Web Site URL: http://______________________________________________
1. Which tradition do you practice? Cheek One.
_____ Celtic ____ Druidism _____ Kitchen Witch _____ Pictish ___ Solitary
_____ Ceremonial ____ Eclectic _____ Shamanism _____ Correllian ___ Alexandrian
_____ Green Witch ____ Gardnerian ____ Open Minded Christian
____ Other Please Specify: ______________________________________
2. When did you become a member of the Pagan Community? (MMDDYYYY) _______________
3. Are you Ordained? ___ Yes ___No If so how long have you been ordained & when did you
become ordained? _______________________________________________________________
_______________
4. If you are not ordained are you willing to be ordained? ____ Yes ____ No
5. If you are ordained or want to be come ordained are you willing to teach? ___ Yes ___ No
If you are interested in teaching we will send you the information and what subjects we need teachers in.
6. We would like to know if you are active in your community. ___Yes ___ No if yes can you pervade a list of contacts, names, numbers and address so we can verify your activities? ___ Yes ___ No
If you can verify pleas send in on separate paper and attach to form.
7. What kind of skills do you have? List all: _________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
8. Donations are accepted and appreciated. If you can donate money at which level can you donate at?
____ $5.00 (associate member) You will receive a Certificate of Membership & an I. D. *
____ $15.00 (regular member) You will receive a Certificate of Membership, an I.D.*, Blank Book of
Shadows/ w Quill & Dragons Blood Ink.
____ $16.00-$25.00 (supporting member) You will receive a Certificate of Membership, an I.D.*, Blank
Book of Shadows/ w Quill & Dragons Blood Ink, $2.00 off admission to our weekend festivals**.
____ $26.00- or more (V.I.P. supporting member) You will receive a Certificate of Membership, an I.D.*
Blank Book of Shadows/ w Quill & Dragons Blood Ink, $2.00 off admission to our weekend festivals**,
Discounts on purchases from The Sacred Oak an online store.
Their URL: http://www.angelfire.com/wizard/t.foster
Thank you for your contribution. Make checks or money orders out to: The one of the following
· Edward Foster (Head High Priest)
· Tonie Foster (Secretary)
· Sharon Fuller (Treasure)
*Note: Because we are a non-profit organization we will send receipts with totals
9. To those who are bringing their children you must pervade their Name, Age, Birthday,
And An emergency contact.
10. By signing this form you are giving permission for us to add your name to our on line member
directory and newsletter directory if you do not want your name published please tell us in the comment
area. But Remember the bigger the member list the bigger the recognition of the pagan community. If you
are under the age of 18 are your parents willing to sign this form and give permission for you to attend our
festivals. We will need a letter from your parents stating that the give you permission to join our organization.
11. Comments: ___________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
Your Signature: __________________________________ Date (MMDDYYYY) __________________
Parent/ Guardian Signature: ___________________________________Date(MMDDYYYY)__________