Golden State Roleplay Community Membership Application
Please make sure to answer all questions carefully and use detailed structured responses when appropriate. Before applying, please look at the qualifications listed below.
Qualifications *

About You
What is your name? *

First Name Last Initial
What is your email address, {whatIs}? *
example@example.com
How old are you? *
Prove that you are {howOld12} years old by providing your date of birth. *

Month Day Year
What is your location? *

Street Address

Street Address Line 2

State / Province

Country
Which branch would you like to apply for? *

Xbox One Playstation 4 PC
What is your gamertag? *
What is your PSN username? *
What is your social club username? *

Golden State Roleplay Community Membership Application

About You