Witchcraft III Application
In-person with High Priestess Alix Wright, Class begins November 2017

Witchcraft III is the third in a five-degree system of training for the modern witch in the Temple of Witchcraft tradition. Acceptance into the program automatically grants Honored Membership into the organization of The Temple of Witchcraft. Assuming there is sufficient enrollment, the future levels, four and five, will be offered for this class group in each subsequent year. Graduation at level five can result in ordination through the Temple of Witchcraft religious organization, but ordination is a separate process and is not guaranteed.

Contact Information
Please complete all questions.
First Name *
Your answer
Last Name *
Your answer
Magickal/Craft Name (if any)
Your answer
Street Address *
Your answer
City *
Your answer
State/Province
Your answer
Mailing Code *
Your answer
Country *
Your answer
Email *
Your answer
Phone Number *
Your answer
Emergency Contact *
Whom should we contact in the event of emergency? Please provide name, relationship, phone number, and email (if available). Also, is this person aware you are studying Witchcraft?
Your answer
History
Please take as much space as needed to answer these questions.
1. Witchcraft II is a prerequisite for this course. *
When (month and year) did you complete Witchcraft II, and who was your teacher?
Your answer
2. Witchcraft III requires a regular magickal practice. *
How regular is your magickal practice, including meditation, ritual and study? (Any purposeful acts you consider part of your spiritual-magickal practice can be included here.)
Your answer
3. Witchcraft III is a purposely emotionally challenging course, bringing up a variety of hidden and repressed issues. *
Are you prepared to face these issues to the best of your ability and do you have proper emotional support to aid you in this challenge? Family, friends, coven-mates and any other social and spiritual support should be made aware of this commitment.
Your answer
4. What do you think will be your greatest challenge in this course? *
Your answer
5. Do you currently or in the past have any diagnosed mental health, psychological or neurological issues? Do any currently require medication or have required medication in the past? Have you ever spent time in a mental health facility? Do you suspect you might have an undiagnosed mental illness or imbalance? *
If you answer yes to any of these questions, please state the nature of the issue. All magick teachers should be aware of the mental health of their students to best be able to help them on the path. While such issues are not necessarily prohibitive to study, full disclosure of such issues is necessary for your continued safety and wellbeing while in the program. Failure to disclose can result in termination from the program.
Your answer
6. Have you ever experienced or suffered from issues of addiction, including but not limited to alcohol or drug addiction? If so have you received treatment for your addiction and what is your current status of treatment? *
Your answer
7. Are you prepared to make a commitment of study to this course and training for the year? *
Your answer
8. Have you ever registered for this course before or another Temple of Witchcraft course and not completed it? *
If so, why, and how have conditions changed that you will be successful this time?
Your answer
9. Did you have a mentor in the previous level of study? *
If so, who (name and e-mail)? If possible, would you like to continue with your mentor or have a new mentor? Why?
Your answer
10. Have you experienced any significant life-changes in the year prior to this application? *
If yes, please describe the nature of this experience and if you feel it will affect your class performance.
Your answer
11. Do you have any questions? *
Your answer
Availability of Training
This training is open to people of all races, sexual orientations, gender identity, ethnicity or background. We do reserve the right to refuse admittance to those who do not possess the necessary stability or health to safely complete the program and we reserve the right to refuse graduation certification to any and all that do not fulfill the course requirements to the best of their abilities. The course requires a level of self-responsibility, discipline and introspection to successfully complete.

This training is not a substitute for medical care or psychological counseling. Students are wholly responsible for their own physical and emotional well-being and care. Students are also wholly responsible for their emotional or other reactions to meditation, ritual or shamanic journeying work. Support by peers and teacher is provided, but if you require outside support and facilitation via a counselor or therapist, make sure such support is in place BEFORE starting the course.
Confidentiality Agreement *
All private materials related to this course (i.e. those materials not available or for sale to the general public) are under consideration for future publication or release, and thereby must be kept private, used only by students currently enrolled in class. By enrolling in this class, I acknowledge that I may have access to confidential information relating to the traditions, books, products and business activities of Christopher Penczak. I understand that disclosure of this information to third parties would cause substantial detriment to Christopher Penczak’s ongoing business.I agree that I will not, during my apprenticeship engagement in this apprenticeship or at any time thereafter, disclose to any third party any confidential material, including writings, files, artwork, designs, formulas and audio material. I will likewise keep material shared by other students in the apprenticeship, personal or professional, confidential unless otherwise given permission to disclose such information by said party. Apprentice groups should be confidential places where people feel comfortable sharing information and experience.
Required
Payment
I agree to respect the bounds of the payment plan outline for the course and honor my educational, spiritual and financial commitments. Payment is nonrefundable and expected in full even if you decide to remove yourself from the course through withdrawal. If your application is not accepted for the program, all deposits will be returned promptly with your notice. Although highly unlikely, the instructor reserves the right to terminate any apprenticeship due to misconduct, disrespect or other great incompatibility and a pro-rated portion of the funds will be returned if payment is made in advance at the instructor’s discretion.

By signing this form and registering for this class, you certify that you are of legal age and agree all the information above is accurate to the best of your ability, you agree to abide by the Non-Disclosure Confidentiality Agreement and to participate in the format and structure of the class, completing all assignments and class work to the best of your ability. Electronically submitting this form with your name on it will be considered the equivalent, legally and morally, as a signature.

Your deposit of $100 should be sent at the same time as your application. PayPal links for deposit or to pay in full are included with the confirmation message for this form. If paying by PayPal, please be sure to select the level of the class and the type of payment you are sending. Please note your legal name and "W3 2017 In-Person Alix Wright" for ease of processing. Send PayPal payments to info@templeofwitchcraft.org.

If you are mailing a check or money order, please send to:

Temple of Witchcraft
Attn: Mystery School Financial Dept.
49 North Policy St.
Salem, NH 03079

Please indicate your legal name and "W3 2017 In-Person Alix Wright" on the check.

Legal Name *
Your answer
Date Submitted *
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Signature *
I understand that submission of the above information constitutes a digital signature and is legally binding
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