Dark Moon's Heart

Full Name *

First Name Last Name

Magickal Name (if applicable)

E-mail *

Address *

Date of Birth (optional)

Course you wish to apply for *

Note-White Moon Lessons are $30 per 4 lessons.

Method of payment *

Paypal payments can be sent to: darkm999@darkmoonsheart.ca

Describe your current spiritual practice

Describe your spiritual background

Do you swear that you are a woman of at least 18 years of age? I do so solemnly swear *

Yes

Do you swear to abide by the Rede and Harm None? I do so solemnly swear *

Yes

How did you hear about Dark Moon's Heart school?

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Application Form