Order of the Water Witch Membership Application

Please complete the following form to apply for membership to the Order of the Water Witch.

Your Name (required)

Preferred Name (required)

Date of Birth (required)

Your Email (required)

Location [Town/Suburb, Province/State, Country] (required)

Affiliated Correllian Temple/Shrine? (required)

Status within the Correllian Tradition (required)
High PriesthoodClergyOuter CourtDedicant

Why would you like to join the Order of the Water Witch?

Do you have any skills or talents that you feel would benefit the Order?

Are you willing to participate in our Facebook Group and meet all our membership requirements? YesNo

Would you like to purchase the Order patch for R80 excl.postage? YesNo