Register

Church Name

Affiliations with Other Churches if any
If none, please write "none."

*Contact Person

Title

Tel

Cell

Address

State

Zip

Email

**Please designate the person who will be your point of contact with the NAAVC (if different than above):
Contact Name

Title

Telephone Number

Cell Phone Number

Email Address

How long has your church been conducting ceremonies?
1-3 Years4-8 Years9 or more

Is your church incorporated within your state
YesNo

How often do you meet for ceremonies?
Once every few months1-2 times a month4-6 times a month7 or more times a month

4
On

12
On

35
On

610
On

1120
On

1-3 Years
On

9 or more
On

Once every few months
On

12 times per month
On

46 times per month
On

7 or more times per month
On

Does your church have a primary base location for ceremonies
No_2Yes_2

Do you travel for ceremonies
No_3Yes_3

20 or more
On

Community Support
On

Legal Support
On

KnowledgeBase Sharing
On

Networking
On

All the above
On

ceremonies
No_4Yes_4

visionary churches
No_5Yes_5

Is your Church incorporated as a nonprofit entity
No_6Yes_6

Do you have a Code of Conduct or Ethics
No_7Yes_7

Does your Church trace its origin to any lineage of practitioners
No_8Yes_8

Have you considered filing for a RFRA exemption from the DEA
No_9Yes_9

Do you have legal counsel
No_10Yes_10

Are you interested in consulting with legal counsel
No_11Yes_11

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Text6

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