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Welcome to the Ancient Wisdom Ritual Club Application Form

Let's get to know each other a little more before we embark on this HEALING journey together!

Which in-person ceremony would you like to attend?*

Full Name*

Email Address*


Mailing Address*

Birth Details (Date, Time and Location)*

What Interests You About the Ancient Wisdom Ritual Club?*

What kind of transformation are you looking to experience through this process?*

Occupation and Relationship Status*

Would you like to be added to our email list?*


Referred By*

I understand this is a non-refundable annual commitment*

Once you submit your application kindly continue to payment to complete your registration unless you are paying with cash. Cash is preferred.  

Both application and payment are required. And, if you haven't done so already get to know us HERE!

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