The Goddess Society Sanctuary & Learning Center
Class, Membership & Practitioner Application
Section 1: Personal & Contact Information
Full Name
*
Email Address
*
example@example.com
Phone Number
*
Format: (000) 000-0000.
Date of Birth
*
/
Month
/
Day
Year
Date
Spiritual or Professional Title if any
Name of Business if any
Mailing Address
Section 2: Membership Tier Selection
Please choose your desired membership level:
$33/mo - Sacred Seeker - Community Access & Class Discounts
$111/mo - Divine Initiate - Practitioner Access + Room Rental
$222/mo - Sage Wisdom - Full Access + Teaching Rights
Would you like to pay:
Monthly
Annually (save 2 months)
Section 3: Your Sacred Offerings (For Diamond & Platinum Members)
What healing spiritual or educational services do you offer
Do you work with clients?
Yes, professionally
yes, Partime
No, just starting
Website or Social Media Links if applicable
Do you carry any professional certifications licenses or insurance
Preferred daystimes to offer services or classes
Are you interested in teaching a class, workshop, or hosting a retreat?
YES
Not right now
Section 4: Intentions & Alignment
Why do you feel called to join the Goddess Society Sanctuary
*
What do you hope to receive from this space
*
What do you feel called to share or contribute to this community?
*
Section 5: Agreement
By submitting this application, I agree to:
Do you agree to honor the space and all members with integrity, respect, and spiritual reverence?
*
Yes
No
Do you agree to respect the mission and spiritual foundation of The Goddess Society Sanctuary.
*
Yes
No
Do you agree to abide by the community's guidelines, room-use policies, and sacred agreements.
*
Yes
No
Do you agree to Engage with honesty, compassion, and love for the healing of myself and others.
*
Yes
No
The Goddess Society Sanctuary & Learning Center
Membership & Practitioner Application
My signature denotes that I agree to the tems of this application
Name
*
First Name
Last Name
Signature typed name
*
Date
*
/
Month
/
Day
Year
Date
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