Membership Form

Please fill out this form to join the Mycelian Church of San Francisco.

We deliver sacrament throughout San Francisco 7 days a week.

Membership is free. Anyone from anywhere can join. After your church membership is approved, you will receive a confirmation email that explains the donation process and provides information about the Asshole Assessment Test and other church activities.

We ask that you use either regular text, Signal, Telegraph, or email for communications.

Thank you for joining!
Full Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState

Postal / Zip Code
Phone Number*
E-mail*
example@example.com
Are you over the age of 21+?

YesNo
Are you a member of law enforcement?

YesNo
What is your primary interest in becoming a member of the Mycelian Church?

Enchancing my spiritualityI'm an asshole in need of helpI'm curious about the benifits of psilocybinOther
How did you hear about us?

Word of mouthSearch engineSocial mediaPostcardOther
How do you prefer to communicate?

Regular text messageSignal appTelegraph appEmailOther
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