Name:  

Address:  

City/Town:  

State:  

Zip Code:  

Email Address:  

I hereby affirm that I am over 18 years of age  

My date of birth is:  

(If you are not 18 years of age or older, please have a parent or guardian read this form and contact us. We are not willing at this time to accept applications for membership from individuals who are minors without verified parental/guardian's consent. Please respect us in this matter. If we find that you have falsified information concerning your age, we will report this to the appropriate authorities or parents/guardians. It is unfortunate that this must be said, but Paganism is a path much misunderstood and should not be entered into without thought and maturity.)

I am interested in joining the Order of the Crimson Rose. Membership in the Order of the Crimson Rose requires a commitment from its members to communicate with each other on a regular basis, the ability to create your own program for learning (to be submitted to the advisory panel), and the willingness to work with an advisor.

In return, members enjoy a chance to share information with others of the organization, to learn and grow spiritually and emotionally, and in some cases, ministerial credentials.

The Order of the Crimson Rose reserves the right to revoke the membership of any of their members if that member is found to be promoting hate-based philosophies, demeaning any other religious beliefs, or making false or otherwise misleading statements which reflect poorly on the Order of the Crimson Rose and its members.

I have read the above statement, and I would like to join the Order of the Crimson Rose. I understand that by joining the Order of the Crimson Rose, I am not joining a cult, but a religious organization whose purpose is education and study.  

Yes   No

I am interested in focusing my studies on (choose up to three):

Herbalism

Energy Work

Crystals and Stones

Pagan Parenting

Rituals and Celebrations

Regional Religions (Celtic, Teutonic, Greco-Roman, Native American, etc.)

Healing

Arts/Poetry/Crafts

Instructing Others

Divination Methods

Thank you for taking the time to fill this out! The advisory board will review your application and contact you with any questions they might have.