APPLICATION FOR ACTIVE MEMBERSHIP IN THE THERIAN TEMPLE

To become an Active Member of the Therian Temple,
If you are OVER 18 YEARS OF AGE, you must first submit a satisfactory Application for Active Membership, Contribute a $30 Donation , and take the Oath of Therion.

All membership records and information are kept strictly confidential,
with the exception of criminal investigations.

Upon completion, email a copy of this application and your answers, along with a recent photo of yourself to: info@theriantemple.org .

In the event of server error or full mailbox, Contact Magus Fenrir Therion: fenrirtherion@yahoo.com.



GENERAL INFORMATION:

LEGAL NAME:

DATE OF BIRTH:

EMAIL ADDRESS:

POSTAL ADDRESS:


THERIANTHROPY & MAGIC INFORMATION:

DO YOU OWN A COPY OF THE THERIAN BIBLE?

HAVE YOU READ THE THERIAN BIBLE?

DO YOU CONSIDER YOURSELF THERIAN?:

HOW DO YOU DEFINE THE WORD "MAGIC"?:

WHAT IS YOUR EXPERIENCE, IF ANY, WITH "THE OCCULT","THE METAPHYSICAL","THE ESOTERIC", AND/OR "MAGIC"?

DO YOU SWEAR TO UPHOLD THE OATH OF THERION?:

IS THERE ANY PART OF THE THERIAN CODE WHICH YOU CAN FORSEE NOT BEING ABLE TO MAINTAIN DURING TIMES OF RITUAL PRACTICE?:

HAVE YOU DEFINED YOUR THERIOTYPE? IF SO, WHAT IS IT?:

WHEN AND HOW DID YOU FIRST RECOGNIZE ANY THERIAN INSTINCTS WITHIN YOURSELF?:

HAVE YOU EXPERIENCED THERIANTHROPIC SHIFTING, EITHER IN DREAMS OR WAKING STATES?:

BACKGROUND INFORMATION:

ARE YOU A MEMBER OF ANY OTHER OCCULT, PHILOSOPHICAL, OR RELIGIOUS ORGANIZATIONS?:

HAVE YOU EVER BEEN CONVICTED OF A CRIME? IF SO, WHAT WAS IT AND DID YOU SERVE YOUR PUNISHMENT?:

HAVE YOU EVER INJURED OR KILLED AN ANIMAL? (INTENTIONALLY OR ACCIDENTALLY) IF SO, DESCRIBE?:

WHAT DOES YOUR DAILY DIET CONSIST OF?:

TEMPLE ACTIVITIES INFORMATION:

WHY DO YOU WANT TO BECOME AN ACTIVE MEMBER IN THE THERIAN TEMPLE:
WHAT CAN YOU DO FOR THE TEMPLE, AND WHAT DO YOU THINK THE TEMPLE CAN DO FOR YOU?:

ARE YOU SEEKING TEMPLAR STATUS, MEANING: DO YOU WISH TO BE CONSIDERED FOR AUTHORIZATION TO BE A PUBLIC REPRESENTATIVE OF THE THERIAN TEMPLE?

ARE YOU WLLING TO SUBMIT A SCAN OR PHOTOCOPY OF YOUR PHOTO I.D. TO THE THERIAN TEMPLE ADMINISTRATION?

DO YOU WISH TO BE PUT IN CONTACT WITH OTHER THERIAN TEMPLE MEMBERS?

DO YOU WISH TO BE INVOLVED IN GROUP MEETINGS, CEREMONIES, AND/OR EVENTS?

PERSONAL / MISCELLANEOUS / DEMOGRAPHIC INFORMATION:

DO YOU PUBLICLY IDENTIFY YOURSELF AS EITHER A THERIAN, OR, ANY TYPE OF OCCULTIST-- OR BOTH?

DO YOU HAVE ANY SPECIAL TALENTS OR SKILLS?

DO YOU HOLD ANY OFFICIAL TITLES OR SPECIAL CERTIFICATIONS?

ARE YOU AFFILIATED WITH ANY POLITICAL GROUPS, PARTIES OR ORGANIZATIONS?

HAVE YOU BEEN DIAGNOSED WITH ANY PSYCHOLOGICAL OR MENTAL DISORDER OR DISEASE? IF SO, WHICH?

HOW DO YOU DESCRIBE OR IDENTIFY YOUR SEXUAL ORIENTATION?

DO YOU HAVE ANY CHILDREN?

WHAT IS YOUR OCCUPATION?

DO YOU HAVE A WEBSITE? IF SO, LIST URL(s).