Correspondence Course Registration Form
Thank you very much for your registration for this course. In order to offer personal
guidance and tailor the course as individually as possible, would you please fill out
this questionnaire before continuing to the shopping cart to pay for your first lesson.

Please also make sure you write something in every field of the form.
You could put a hyphen or a zero or 'none' in any field you don't use.

            Name you wish to be known as:    
 Email address for course correspondence:

Age:

Gender:

Birth date: (e.g. Jan 01 1986):   Time of birth:

Place of birth
(please give city, town or area; state, province or county; country):

 Have you studied any of these to a significant degree?

(to select more than one option, hold down the control key and click on each one.)

Other Occult and/or Pagan traditions (please specify)

 Do you have a patron deity within the Northern tradition?

 Do you work closely with particular deities in another tradition?

Express your agreement/disagreement with the following statement: "The Nordic Mysteries should be exclusive to people of predominantly Nordic ancestry"

Would you be willing to take part in experimental occult
explorations into the hidden side of the Northern Tradition?

Do you accept the obligation to keep the details and content
of these lessons absolutely confidential, only to be shared
with your significant other, when there is a shared interest?

          

IMPORTANT NOTE:
Always communicate with me using the students contact form. You can copy and paste anything into the message box, and there is a facility for uploading files and images.