ATON Temple of the Lodge and Order Contact and Membership Info Page

Information to the ATON Lodge and Order for membership application is held in the strictest of confidence.At the moment we are structuring our online and offline tutorials and workshops.Our presentation pages will soon be up and running on this site,and you may use the Info Form or we can utilize snail mail. Cut,Copy and Paste this Form then print it out to snail mail to the ATON Lodge and Order...Please fill it out completely...in completed forms will not be reviewed in any way.

Full Name:_________________________________________________________________________ Home Address:____________________________________________________________________ ________________________________________________________________________________ Drivers Lic. #. or Personal ID #:_______________________ Your Present Age:______ Marital Status: ( )Married ( )Single Business Address:_________________________________________________________________ Occupation:______________________________________________________________________ If a student, state your major:_______________________________________________ Phone (Work):_____________________ (Home): ______________________ Fax/Modem:__________________ E-Mail Address:____________________ Please include all birth information requested in order to receive a natal chart upon membership. Birth Date:____/____/19____ Time:___:___ a.m. p.m. (circle one) Birth Place:______________________________________________________ How did you find out about the Order? ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ Do you have a magickal background? If so, explain: ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ What is your religious background? ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ If you are accepted, what do you expect to obtain from this order? ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ Have you previously been involved with or are you currently involved in any of the following: (Please check all that apply) __ A Golden Dawn Group __ Thelemic Golden Dawn __ B.O.T.A. __ Illuminati __ Masons __ Rosicrucians __ O.T.O. __ A.A. __ I.O.T. __ Astara __ Solitary Wiccan __ Wiccan Coven __ Law Enforcement Agency __ Government Agency __ Other: Why are you interested in spiritual development? ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ Please list any past study in spiritual development: ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ Have you ever been arrested, taken into custody, pleaded guilty or nolo contendre to, or been convicted of a criminal offense (other than a minor traffic violation)? (Please note that having a conviction will not exclude you from being considered for this organization.) ( )Yes / ( )No If so, please explain: ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ Are you in sound bodily health? ( )Yes / ( )No Have you ever been treated for any psychological disorders? ( )Yes / ( )No If you work or are a student, please list hours and days of availability. ________________________________________________________________________________ ________________________________________________________________________________ Do you believe in a Supreme Creator of the universe and a future existence? ( )Yes / ( )No If you are accepted by this Order, will you adhere to all rules and regulations of the Order? ( )Yes / ( )No Have you read all the questions contained in this application carefully? ( )Yes / ( )No Do you, upon your honor, declare your foregoing statements to be true? ( )Yes / ( )No As a condition of and in consideration of my being considered for membership in the ATON Lodge and Order, I do hereby authorize the Magisters of the Order to conduct any investigation necessary. I further understand that this procedure may entail the contacting of persons, either known or unknown to me, and that I waive all rights and remedies which may be extended to me under present or future laws in connection with or relating to this procedure. I further agree to hold harmless and free from liability the Aton Lodge and Order Oasis, its members, and persons referred to above from all legal proceedings, rights, and remedies which may otherwise be available to me under current or future laws. I hereby certify that I have read and fully understand the foregoing statement. Signature:_______________________________________________________ Print Name:______________________________________________________ Date of application___/____/19____ Snail mail this too... C/O Elaine Hoover 6120 W.Tropicana a16 #369 Las Vegas,NV 89103