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| Black Rose Spiritual Center, Inc : |
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| Declaration OF Faith BY A Parishoner of Black Rose Spiritual Center |
| DECLARATION OF FAITH BY PARISHONER of Black Rose Spiritual Center I, __________________________________, being of at least 18 years of age, or with the signed permission below of my parent or legal guardian if under the age of 18, do hereby formally state my wish to become a member of the Church known as the Black Rose Spiritual Center. By this declaration of faith I swear to uphold the mission statement of the Center and to conduct myself in accordance with the rules and guidelines of the Church and it’s liturgical hierarchy. I do so swear this ______ day of _________________________, 20____. Signature:__________________________________ (If the above is under the age of 18.) I, _____________________________________________, parent or legal guardian of the minor child _____________________________________________ listed above do by my signature below grant approval for my minor child to participate in the religious services and activities of the Black Rose Spiritual Center. Dated this ____ day of ____________________, 200________ Membership Fee of $20.00 Paid? YES NO If Yes: payment type: Date Received: Receipt Number: If No: Please give a brief explanation why not. Members of Black Rose Spiritual Center have authority to waive the one time membership fee for reasons stated in the governing documents. |
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