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
If “Yes” Please list names and relationship to you?
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