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Fill Out a Connection CardPrayer Requests

    Membership Application Form



    Address






    Upload Photo ID

    Employment Information

    Do you work for law enforcement or any government agency?
    YESNO

    Religious Beliefs

    Do you accept entheogenic plants (including cannabis and mushrooms) as part of your religion?
    YESNO

    (Please explain what an Entheogenic plant is)

    Agreement

    Do you understand and agree to abide by the guidelines and principles set forth by Ritual Church?

    Will you respect the privacy and confidentiality of other members and the information shared within our community?

    YESNO

    Cannabis Use

    Do you smoke, consume, or use cannabis in any way?
    YESNO

    Support for Entheogenic Plants

    Do you support the private adult use of entheogenic plants?
    YESNO

    (Please explain what an Entheogenic plant is)

    Safe Place for Adults

    Do you think adults should have a safe place to use and/or acquire entheogenic plants?
    YESNO

    (Please explain what an Entheogenic plant is)

    Referral Information

    Who were you referred by (Name & Member Number)? Or where did you hear about Ritual Church?

    Religious Sacraments

    Are you interested in exploring and utilizing sacraments for spiritual or personal growth purposes?

    Reason for joining

    Why do you want to join the church?