City of Adam Registration – SHECANIAH

Priest Name

Registrant Name

Which plan did you select?

Do you confirm that this account is just for yourself? *

Yes
No

Do you confirm that this account is for you and your spouse ONLY? *

Yes
No

If you have also children that you also want on the city of Adam and are eligible to join the site under your account (ages 13 - 19), select "NO". You must register for a family plan.

Name of Spouse *

How many people are you planning to register on this plan?

STOP

Do not approve account. User has selected the wrong plan. A refund must be issued and they must register for the proper plan.

(Contact Kh. Yaradan regarding refunds)

What are the names for the additional family members on your account?

Name *

Gender *

Age *

Cross reference names using Anathama Maranatha List if needed:

https://houseofwisdom.us3.quickconnect.to/oo/r/11bRCW4mW1w7e8WdZ03BMhZoyAjiBFF5#tid=1

*PRIEST*: You confirm that NONE of the names on this request are not found on the Anathema Maranatha list *

NAME(S) NOT LISTED
NAMES LISTED

How long have you been listening to the House of Wisdom?

Layout

Number

Dropdown

Have you been consecrated in the 7th Covenant by the Priests at the House of Wisdom? *

Yes
No

On which date were you consecrated? *

Which priest offered your consecration offering? *

Do you understand the 7th Covenant consecration? *

Yes
No

Why do you want to be a member of the House of Wisdom? *

Are you currently congregating or affiliated with another Hebrew or religious group? *

Yes
No

Are you of the lineage of Israel or the nations? *

Israel
Nations
Unsure

Status of Member Request: *

Approved
Denied

Priests: additional notes