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Gothard Application/Petition


(This information is kept completely confidential.)

Personal Info: Name: 
Address: 
City:  State: 
Zip:  Country: 
Phone:  (we will NOT call you unless it's dire...)

E-mail Address (Please type carefully): 
Are you a member of any Asatru Alliance, Federation
or Kindred?		 Yes
No
Please list Heathen or Asatru organizations you belong to here...
....If applicable, how long have you
been a Teutonic Asatru clergy member?

Years
Months

Date of Birth:  MM/DD/YY

Gender:  Male  Female    

Marital Status: 
 Single  Married  Divorced  Too long a story for this space
Number of Children: Boy(s)    Girl(s) 
Partner's Name: 

If you are a Gothi, what is your preferred spelling of the word Gothi / Godhi ?

If you are a Gythia, what is your preferred spelling of the word Gythia, Gydhja, Gythja?
Your legal first, middle
and last name should
go on the certificate
(to match your drivers license).
How do you want
your certificate to
display your "mundane"
name?		 Choices:
The Reverend Godhi / Gythia John Milton Doe
Reverend John Milton Doe (no Godhard title displayed)
John Milton Doe (no Godhard title displayed, no Reverend)
If 5+ years experience: The Very Reverend Godhi / Gythia Jane Mary Doe

If you wish to include your spiritual name on the legal certificate, it will be placed on the line just BELOW the "Reverend Godhi John Milton Doe" line. You may leave your spiritual name off the certificate entirely.

If you want your spiritual name to appear together with your drivers license name on your legal ordination certificate, please check this box.

You may have your spiritual Asatru name used alone on a separate religious ordaining document.  If you want two separate certificates, one with and one without your spiritual name, $20 extra, check here.

Please spell out your Teutonic "Asatru" spiritual name for us,
explaining any non-Latin alphabet letters:
For absolute accuracy, please type out the exact way you want your name displayed:

What is the name of your Kindred, Hearth, Garth
There is a line in the certificate that reads, "Solemnly Oathed to the ______ Kindred of City, State.
" If you want this line on your certificate, please list the full name of your Kindred, (Hearth, or Garth)and it's City and State, here:		 Kindred
City
State


Why do you wish to become Ordained?

Any experience as a counselor (including informal, with family or friends?)

Do you pledge to use your Godhard Status for the Service of Humanity, Kith & Kin? 


Member Profile
The following questions are somewhat optional, but we encourage you to answer them because they help us build a picture of you and what has made you the person you are. Souls appear and re-appear in "families" or "soul groups". They often follow family bloodlines, you ARE your ancestors. Past lives are sometimes hard to believe in, but genetic memory is very real. The things you are drawn to in life, flashbacks, and deja vu are your genetic memory nagging you. We can better help you get where you're going if we have a complete profile of you and your ancestral background.
What religion 
were you raised on?
Do you still
practice its ways?		 Fully 
Somewhat		 Seldom 
Never
How does your immediate family feel about your chosen spiritual path?   Opposition? Approval?


 
Please check any of the following areas you have studied or "dabbled" in:
Kabbalah  Esoteric Christianity Runes Rosicrucians
Gnosticism Wicca or Earthbased Trads Angels Asatru/Heathenism
Buddhism Ceremonial Magick Tarot Stav
Goddess Celtic Reconstructionism Druidry Vedanta
Other areas of study not listed above:

Please indicate those that you are most interested in learning more about: 
More about you Your occupation: 
Special Skills: 
Hobbies, etc.? 
How did you hear about us? New Age Journal Link from TheDreamZone.com
A friend referred me Discussion List Link from another website
Search Engine Query Heard Dr. Katia
on a Radio Show		 Any other source: (please explain)


      Please check the box next to the items you are ordering.

The Ordination fee is $156 (includes Priority Mail shipping)

Additional Certificate, one with and one without your spiritual name $20.

Wallet ID credentials are available for $10.

Check this box only if you want Rush shipping.  Cost varies, depending on where you are.

Payment Methods

Visa  MasterCard  Discover (you will be contacted by email for your card number)
Check or Money Order made payable to Esoteric Interfaith Church, Inc.


Please review your application above and if you are happy with it, click on the button below. (Print this now if you'd like a copy of this application for your records)

Your application will be reviewed and you will be notified immediately upon acceptance.
 
 

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