Community Server Verification Form
Please complete this form to verify your eligibility and intent to join our community server.
Full Name
*
First Name
Last Name
Preferred Username or Handle (as it will appear on the server)
*
Email Address
*
example@example.com
Date of Birth
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
How did you find out about our server?
*
Please Select
Friend or member referral
Social media
Online search
Event or promotion
Other
What is your main reason for joining this community server?
*
Have you participated in similar online communities before?
*
Yes
No
If yes, please list the communities you have participated in and your role (member, moderator, etc.)
Which topics or activities are you most interested in within the server? (Select all that apply)
*
General chat/discussion
Gaming
Tech/Programming
Events and meetups
Support/Help
Other
Have you read and agree to follow the server rules and guidelines?
*
Yes, I have read and agree to the rules.
No, I do not agree.
Please briefly introduce yourself to the community (optional)
Please complete the captcha to verify you are not a bot.
*
Submit Verification
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