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Gamers Club Membership Interest Form
To officially be considered part of the club you will have to complete this form.
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* Indicates required question
First Name
*
Your answer
Last Name
*
Your answer
What is your Durham Tech Email address?
*
Your answer
What is your Student ID Number?
(Please put N/A if your a Non-Durham Tech Student or Faculty)
*
Your answer
Date of Birth
MM
/
DD
/
YYYY
Phone Number (Ex. 919-555-5555)
Your answer
Would you be interested in volunteering for a club executive board position
*
President
Vice president
Secretary
Treasurer
Sergant at arms
Webmaster
No
Unsure
Would you like to receive club updates and announcements via email?
You can also join the DT Gaming Club Discord to receive updates instead of email.
*
Yes
No
What days can you attend meetings?
Monday
Tuesday
Wednesday
Thursday
Friday
What time can you attend meetings?
Your answer
What type of gamer are you?
Casual (For fun)
Traditional (table top/board)
Competitive (Esports)
Optional: Share your gaming handles or usernames (e.g., Discord, Steam, PlayStation Network, Xbox Live) if you'd like to connect with other members:
Your answer
Is there anything else you'd like to tell us or any questions you have about the Gamers Club or Esports?
Your answer
How did you hear about our Gamers Club?
Flyer
Word of mouth
Website
Social Media
In person event
TV (digital signage)
Other
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