Member Information:

Legal Name*
Preferred Name
Phone Number*
Email address*

Mailing Address:

Street Address*
City*
State*
Zip Code*

Additional Questions:

Are you Interested in Volunteering? YesNo

Membership Options:

After selecting your membership option, and agreeing to the Terms of Membership, please click the link that appears before submitting the form so you may pay for your membership online using Paypal. Your membership starts the day you make the payment.

Monthly Reoccuring Membership ($10)Lifetime Membership ($500)

Legal Information:

By selecting the checkbox below, I am agreeing to the following:

• I am at least 18 years of age.
• I am not acting in the capacity of or in association with any law enforcement, media or religious organization.
• I assume all risks incidental to my attendance at Pagan Pathways Temple (PPT) Events.
• I give my consent to necessary mailings at the above listed address.
• I agree to abide by all Pagan Pathways Temple Policies and Procedures and to obey all published Event Rules.
• I agree to hold harmless the Pagan Pathways Temple, its Board of Directors and Officers, agents and any facility in which Pagan Pathways Temple hosts an event for any injury to person or property which may occur during my attendance.
• I understand that any falsification of this form can and may result in suspension of membership without refund.
• Memberships are not transferable or refundable.
• I understand that my membership is contingent upon approval and can be revoked, suspended, terminated, or denied at any time.

Membership Terms and Conditions:

I agree to the above Terms and Conditions*