Sakaki Family Member Form

Sakaki Family Members

Thanks for becoming a sakaki member! Please add your family member names and birthdays. Family members MUST live at the same address.
If a family member slot is not needed write N/A
If a family member is a pet write animal type before their first name in parenthesis

Family Member 000-2

Please enter first name.
This field is required.
Please enter the name you would like the Shrine to use for you.
This field is required.
Please enter last name.
This field is required.
Please enter birthday (MM-DD-YYYY)
This field is required.
Please enter your name in Katakana. This is so the Priest pronounces it correctly during ceremonies. If you don't know the katakana for your name, write the English common phonetic pronunciation below and we will change it to katakana later. Ex: Gillian = Jill-ee-ann,
This field is required.
Announcement Consent
We announce new members to the Shusse Inari no ÅŒkami and on our YouTube during our monthly ceremony. Would you like your name to be read out loud ?*
This field is required.

Family Member 000-3

Please enter first name.
This field is required.
Please enter the name you would like the Shrine to use for you.
This field is required.
Please enter last name.
This field is required.
Please enter birthday (MM-DD-YYYY)
This field is required.
Please enter your name in Katakana. This is so the Priest pronounces it correctly during ceremonies. If you don't know the katakana for your name, write the English common phonetic pronunciation below and we will change it to katakana later. Ex: Gillian = Jill-ee-ann,
This field is required.
Announcement Consent
We announce new members to the Shusse Inari no ÅŒkami and on our YouTube during our monthly ceremony. Would you like your name to be read out loud ?*

Family Member 000-4

Please enter first name.
This field is required.
Please enter the name you would like the Shrine to use for you.
This field is required.
Please enter last name.
This field is required.
Please enter birthday (MM-DD-YYYY)
This field is required.
Please enter your name in Katakana. This is so the Priest pronounces it correctly during ceremonies. If you don't know the katakana for your name, write the English common phonetic pronunciation below and we will change it to katakana later. Ex: Gillian = Jill-ee-ann,
This field is required.
Announcement Consent
We announce new members to the Shusse Inari no ÅŒkami and on our YouTube during our monthly ceremony. Would you like your name to be read out loud ?*

Family Member 000-5

Please enter first name.
This field is required.
Please enter the name you would like the Shrine to use for you.
This field is required.
Please enter last name.
This field is required.
Please enter birthday (MM-DD-YYYY)
This field is required.
Please enter your name in Katakana. This is so the Priest pronounces it correctly during ceremonies. If you don't know the katakana for your name, write the English common phonetic pronunciation below and we will change it to katakana later. Ex: Gillian = Jill-ee-ann,
This field is required.
Announcement Consent
We announce new members to the Shusse Inari no ÅŒkami and on our YouTube during our monthly ceremony. Would you like your name to be read out loud ?*

Contact Information

The physical address where you live.
This field is required.
Please enter your mailing address that you can receive packages at. If it is the same as your physical address please write "N/A" in the field below.
This field is required.

Membership Consent

All memberships are held for a minimum of one (1) year. We understand that sometimes cancellations must happen for emergency reasons. If this occurs, please contact our staff so that we can evaluate and discuss the situation together.

By clicking "We understand" below, you agree to:
-Maintain your membership for one (1) year, which is 365 days from your join date.
-Treat all Shinto items with respect, following the traditions and customs as outlined in the membership handbook.
-Remember to return all Juyohin items to the Shrine for otakiage after one (1) year.

You must agree to the terms and conditions.
This field is required.
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