Grimnir's Crossroad Kindred Application

Full (Legal) Name*

First NameLast Name
Alternative Names
Different names used on social media or "magical" names
Facebook profile link
For us to verify your identity.
How did you hear about us?
E-mail*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Date of Birth*

MonthDayYear
Are you currently or have you previously served in the military?*
Type of Application*
Family Members (If Applicable)
Please list relevant relationship(s) and age(s)
Are you (or any family applicant) a member of another kindred or spiritual group?*

YesNo
If so, what is the name?
Tell us about your spiritual practice(s)*
How important do you feel it is to attend events?*

1 - Very Important23 - Somewhat Important45 - Not Important
Are you open about your beliefs or do you prefer to keep it from the public?

OpenHidden
Do you give permission for yourself or any additional applicants to be photographed at Kindred events for posting to our social media and website?*

YesNoOnly if I am in the background or not otherwise identified
Do you agree to be open and accepting of anyone regardless of gender, age, race, sex, or sexual orientation?*

YesNo
Have you read and do you agree to abide by our bylaws?*

YesNo
By selecting this you acknowledge that we are a Bloomington based kindred and as such the majority of official events will happen in and around that area.*

I agree
Tell us about yourself*
Give us an idea of who you are.
By submitting this form you acknowledge that you have read and agree to the Bylaws. You also acknowledge that any violation of our Bylaws or our Code of Conduct will be grounds for termination at discretion of our council.
Should be Empty:

By submitting this form you acknowledge that you have read and agree to the Bylaws. You also acknowledge that any violation of our Bylaws or our Code of Conduct will be grounds for termination at discretion of our council.