The Djedhi School of Ancient Wisdom

Application for Admission into Djedhi Training


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Applications for the April 2017 Level 1 Way of the Djedhi Adept Training
must be submitted by April 3, 2017.
No exceptions, so please make your plans early. Thanks for your understanding. 

 

 

The Djedhi School of Ancient Wisdom

A Division of Heartlight Fellowship

P.O. Box 3591 Sedona, AZ 86340 USA

928 284-1429

www.DjedhiSchoolOfAncientWisdom.org
DjedhiSchoolOfAncientWisdom@gmail.com  


Please print out this page and fill out the application below.
Mail it to the address above,

or email it as an attachment to the email addresses above.




The Djedhi School of Ancient Wisdom

Application for Admission into Djedhi Training


Please Print Legibly. Thank You!
Click Here to download the PDF version of the Application Form.

 

 

Name______________________________________________________________________________

 

Address_______________________________ City_______________________________ State _____

 

Country_________________________________________ Postal Code_______________________

 

Email _____________________________________________________________________________

 

Home Phone _____________________________Business Phone _____________________________

 

Cell Phone _____________________________ Occupation__________________________________

 

Birth Date (month/day/year & time, if known)_____________________________________________

 

Birth Place _________________________________________________________________________


Are you a member of any Templar, Freemasonic, or esoteric organizations? YES / NO (Please circle) If so, which one(s)?


__________________________________________________________________________________

 

__________________________________________________________________________________


Have you had any Martial Arts or Survival Skills Training?
YES / NO (Please circle) If so, please list your training


__________________________________________________________________________________

 

____________________________________________________________________________________


What religious/ spiritual traditions have you studied?

__________________________________________________________________________________

 

____________________________________________________________________________________


Have you ever been incarcerated? YES / NO (Please circle) If “Yes” please explain why:

__________________________________________________________________________________

 

___________________________________________________________________________________


Explain your interest in taking the Djedhi Djedhi School of Ancient Wisdom Training:

____________________________________________________________________________________

 

____________________________________________________________________________________

 

____________________________________________________________________________________

 

____________________________________________________________________________________

 

____________________________________________________________________________________

 

____________________________________________________________________________________


Disclaimer of Liability: The Djedhi School of Ancient Wisdom and its parent corporation and affiliates, officers, employees, 
servants and agents act only in capacity as agents for participants taking the Djedhi School of Ancient Wisdom training in all matters connected with the training, and as agent holds itself free of responsibility for any physical, mental or emotional damages to the participants during or after the training.


The Djedhi School of Ancient Wisdom and its parent corporation and affiliates, officers, employees, servants and agents shall 
not be responsible for personal injury, death or property damage as a result of force majeure or for any other losses or damages incurred by any participants arising out of any act, including, but not limited to, any act of negligence, any person acting for or on behalf of the Djedhi Templar Corps for any other person or entity rendering any of the services being offered in connection with this training.


All prices quoted are correct at time of announcement of this training on the website and include the cost of 
operation of the training. Any dispute arising out of this training must be submitted in writing within 30 days of the completion of the training and will be settled by arbitration within the State of Arizona.


My signature below affirms that I have read and completely understand the information provided to me herein 
about the Djedhi School of Ancient Wisdom training and Disclaimer of Liability and agree to all of the contents therein.


Signature_____________________________________________________ Date_______________________


NOTE: A separate Registration is required for each participant. We suggest you photocopy this for your records.

 


Questions?

Questions? Email Mark Pinkham at
DjedhiSchoolOfAncientWisdom@gmail.com    

OR Call 928 284-1429 or 888 501-3853 (Toll Free in the US and parts of Canada)


 

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Updated 5/24/2016
Copyright Djedhi School of Ancient Wisdom / Heartlight Fellowship 2015, 2016