Godhard Application

Gothard Application/Petition

(This information is kept completely confidential.)

Personal Info: Name:
Address:
City: State:
Zip: Country:
Phone: (we will NOT call you unless it's dire...)

E-mail Address (Please type carefully):


Date of Birth:


Gender: MaleFemale


Marital Status:SingleMarriedDivorcedToo long a story for this space


Number of Children:Boy(s) Girl(s)


Partner's Name:


If you are a Gothi, what is your preferred spelling of the word Gothi / Godhi ?

If you are a Gythia, what is your preferred spelling of the word Gythia, Gydhja, Gythja?

Your legal first, middle and last name should go on the certificate (to match your drivers license). How do you want your certificate to display your "mundane"
name?
Choices:
The Reverend Godhi / Gythia John Milton Doe Reverend John Milton Doe (no Godhard title displayed) John Milton Doe (no Godhard title displayed, no Reverend) If 5+ years experience: The Very Reverend Godhi / Gythia Jane Mary Doe

If you wish to include your spiritual name on the legal certificate, it will be placed on the line just BELOW the "Reverend Godhi John Milton Doe" line. You may leave your spiritual name off the certificate entirely.

If you want your spiritual name to appear together with your drivers license name on your legal ordination certificate, please check this box.You may have your spiritual Asatru name used alone on a separate religious ordaining document. If you want two separate certificates, one with and one without your spiritual name, $20 extra, check here.

Please spell out your Teutonic "Asatru" spiritual name for us, explaining any non-Latin alphabet letters:

For absolute accuracy, please type out the exact way you want your name displayed:

Given Name:

Spiritual Name:

What is the name of your Kindred, Hearth, Garth

There is a line in the certificate that reads, "Solemnly Oathed to the ______ Kindred of City, State.
" If you want this line on your certificate, please list the full name of your Kindred, (Hearth, or Garth)and it's City and State, here
Kindred
City State

Why do you wish to become Ordained?

Any experience as a counselor (including informal, with family or friends?)

Do you pledge to use your Godhard Status for the Service of Humanity, Kith & Kin?

Member Profile

The following questions help us build a picture of you and what has made you the person you are. We can better help you get where you're going if we have a complete profile of you and your spiritual background.

What religion were you raised on?
Do you still practice its ways? FullSomewhat SeldomNever
How does your immediate family feel about your chosen spiritual path? Opposition? Approval?

Please check the box next to the items you are ordering.

The Ordination fee is $156 (includes Priority Mail shipping)Wallet ID credentials are available for $10.Additional Certificate, one with and one without your spiritual name $20.Check this box only if you want Rush shipping. Cost varies, depending on where you are.

Payment Methods

PaypalVisaMasterCardDiscoverCheck or Money Order made payable to Esoteric Interfaith Church, Inc.

Please review your application above and if you are happy with it, click on the button below.(Print this page now before you click "Submit" if you want to keep a copy of this application for your records)