Player ID Verification Form
Please complete this form to verify your identity as a player. All information will be used solely for verification purposes.
Full Name
*
First Name
Last Name
Date of Birth
*
-
Month
-
Day
Year
Date
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Player ID or Username
*
Upload a recent photo of yourself (face clearly visible)
*
Upload a File
Drag and drop files here
Choose a file
Cancel
of
Upload a screenshot of your in-game profile (showing Player ID/Username)
*
Upload a File
Drag and drop files here
Choose a file
Cancel
of
Gender
Please Select
Male
Female
Non-binary
Prefer not to say
Team or Organization (if applicable)
Country of Residence
*
Please Select
United States
Canada
United Kingdom
Australia
Germany
France
India
Brazil
Japan
Other
Please provide any additional information relevant to your player verification (optional)
Signature (please sign to confirm your submission)
*
Submit Verification
Submit Verification
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