By filling out the following form with my parent's or guardian's signature, I certify that I am not yet of legal age (18), that I will revere the Earth Mother, and that I will respect myself and others, especially when at official Church functions.
PLEASE PRINT OUT THE FOLLOWING PAGES, FILL OUT AND MAIL IN WITH YOUR CHECK
Legal Name:
Address:
City:
State:
Zip:
Phone:
Email:
Do you wish to be listed in the Contacts section of the newsletter? If so, please use the
space below to write your listing exactly the way you want it published. Be sure to include a way
for people to contact you. WRITE LEGIBLY! We are not responsible to errors due to "chicken
scratch."
By signing this form you certify that your child has your permission and approval to join Church of the Spiral Tree.
(Signature of Parent or Guardian)
The Youth membership includes full membership benefits, and runs for one year, with a renewal notice sent to remind you next year. At any time after reaching the age of 18, you may re-apply for an adult membership.
Youth Membership: $15.00/year
Spiral Tree Headquarters
P.O. Box 8396, Columbus, GA 31908
Back to main page