Wumaniti Membership Application
Sign in to Google to save your progress. Learn more
Disclaimer WENS, believes it has the right under the Constitution and Religious Freedom Act to 1) possess and transport WENS Plant Sacraments and 2) to participate in and hold ceremonies with or without using Plant Sacrament and 3) to grow the Plant Sacrament for WENS use. However, law enforcement and/or the legal system may not agree with WENS. It is the member's responsibility to know these right sand assert them when handling conflicts with law enforcement. All monies given are non refundable thank you.
Initial Here *
Name *
Date of Birth *
MM
/
DD
/
YYYY
Mailing Address *
Phone *
Who Referred You (if anyone)? *
Email Address *
Occupation *
Education Level *
Professional Skillset *
Qualifications *
Certifications *
Why do you want to be a member of Wumaniti Earth Native Sanctuary?  Have you ever attended an earth-based indigenous ceremony? *
If yes, what ceremonies, including ceremonial plant sacrament ceremonies, do you have experience with; and how often have you participated in said ceremonies? *
How long have you been attending earth-based indigenous ceremonies; specify each type of ceremony you have attended? *
Why did you start attending earth-based indigenous ceremonies? *
Are you associated with any tribes and/or elder nations? If so, please name each one below: *
Have you been convicted of any crimes within the past ten years? If yes, list all crimes you were you convicted of in the past ten years below: *
What activities do you include in your daily life that are practices of your earth- based spirituality (ex. praying with cedar, sage, food offerings, attending sweat lodges, going to circles?) *
Would you be willing to contribute any of your time as a volunteer to WENS programs? If so, what programs are you interested in and how much time a month could you volunteer? *
Tell us in a few sentences about your beliefs regarding earth-based indigenous spirituality, and how being a member of an earth-based religious organization will support your spirituality: *
Do you talk with the elements, dirt, fire, water? Explain: *
Do you meditate with plant medicine sacraments? If yes, please explain which plant sacraments you are interested in meditating with and why: *
Do you have interest in participating in ceremonies that involve plant sacraments include but not limited too cannabis and/or hemp, mushrooms, grasses, vines, and/or cactuses? If yes, please explain which plant sacrament ceremonies you are interested in participating, and why: *
Have you used cannabis and/or hemp, mushrooms, grasses, vines, and/or cactuses plant sacraments before?If yes, please describe: 1) what plant sacraments; 2) how often; and 3) in what ways: *
Do you currently have any medical need for cannabis and/or hemp and mushroom plant sacraments? (ex.glaucoma, cancer, anxiety, depression) If yes, please explain your medical needs and how you use sacred plant sacraments as medicine to address those needs; including how often you use said plant sacraments as medicine. *
Please describe your spiritual relationship to the cannabis and hemp, mushrooms, grasses, vines, and/or cactuses plant sacraments, if you intend to meditate with said sacraments, once a member of this Church; and in which specific ways you intend to meditate with said plant sacraments: *
Tell Us About Your Spirituality *
Next
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report