PLEASE FILL OUT THIS APPLICATION FOR MEMBERSHIP AS SOON AS POSSIBLE. PLEASE EMAIL YOUR APPLICATION TO:
ONCE YOUR APPLICATION HAS BEEN RECEIVED AND REVIEWED, YOU WILL BE CONTACTED BY A MEMBER OF THE BOARD. YOU WILL BE REQUIRED TO PLAY IN ONE OF THE SUPER HEROES TOURNEYS PRIOR TO BEING ACCEPTED INTO THE CLUB.
THANK YOU FOR YOUR INTEREST IN OUR CLUB!!
DATE OF SUBMITTAL:
FIRST NAME:
DATE OF BIRTH (MANDATORY):
AGE (MANDATORY):
CURRENT ZONE NICK:
PROPOSED ZONE NICK FOR CLUB:
NUMBER OF GAMES PLAYED ON ZONE:
WHAT GAMES DO YOU PLAY:
WHO SPONSORED YOU:
ARE YOU A ZONE VOLUNTEER:
IF YES, WHAT IS YOUR TITLE:
E-MAIL ADDRESS:
ICQ#:
INTERESTS/SPECIAL TALENTS: