Become a Member

Name: (Do not hit return)

Email address:

Phone number:

Gender:

Female
Other

Age:

17 or under
18-20
21 or older

Which services are you interested in
(Check all that apply)

Psychotherapy?
Backrubs?
Confession and absolution of sins?
Emotional support?
Spiritual guidance?
Other:

Are you interested in becoming a Member-Plus Card Holder?

Yes
No

Are you interested in receiving information on becoming an altar girl for Reverend Higgins?

Yes
No


All memberships are subject to review.  The management retains the right to withhold and revoke any membership with or without reason. The free, basic membership does not cover all services.  Additional costs are subject to discussion.

All altar girls must be of legal age (18+).