New Student Application

The tuition for 4 weeks of lessons is $30-US. After you submit this application, you will be asked to send payment. Once your payment is received, you will be contacted within the week to begin the course. ***All Fields Required***

Course Enrolling For	Choose One White Moon Teachings
Your E-mail
Your Full Name
Your Full Mailing Address
Enrollment?	Choose One New Student Former Student Transfer Student
Method of payment	Choose One Paypal Check or MO
Magickal Name
Full Date of Birth
Describe your current spiritual practice
Describe your spiritual background
Describe your areas of spiritual/magickal skill & study
Please describe what you want to learn more about and why.
Do you swear that you are a woman at least 18 years old?	I do so solemnly swear
Do you swear that you will harm none with these teachings, except in self-defense?	I do so solemnly swear
Where did you hear about us?

Moonlit River, P.O. Box 44, Thornton, PA 19373-0044

Copyright© 2004 Moonlit River. All rights reserved.
Site design by Tranquillity Fearn.
Established Feb 2003.
Last Updated April 5, 2009