Space Station Requiem Civilian/Pet Membership
Welcome to Space Station Requiem and thank you for your interest in being a Civilian member or enrolling your pet in our "Pet Fleet" program.  All proceeds go to support one of the many community service projects that Guilds of Requiem, Inc, and its subsidy, Space Station Requiem manage.

If you are wanting more than one pet to be a member of our Space Station, please use the comment section at the end to answer all of the pertinent questions for each pet and we will adjust our PayPal Invoicing. This information should include your Pet's Name, Terran Species, approximate Terran Age, SSR-verse Species, Occupation on the station and any "quirks" your pet has. For Example: Wicket, Dog/Canine - Boston Terrier/Boxer aka a portable Boxer, 6 years, Mogg (man/dog - Think "Spaceballs"), Sciences, has an obsession with Oinkies and sleeps a lot.  

With the introduction of the STEAMPunk Unit/Aerodome, we have added a section to list the name(s) of the youth you have registered on that specific form (https://forms.gle/LgKhqWSwwFptER1d9).

Someone should email you within 2-4 business days of submitting this request with name options based on the languages we are developing for each race.
Sign in to Google to save your progress. Learn more
Email *
Are you a new or existing member of Space Station Requiem and Pet Fleet? *
Required
Which Membership are you signing up for?  $5 per year per person or pet, which renews in January of every year. Amount is prorated based on time of invoicing. This amount is evenly divided between operational budgets of Space Station Requiem and Service Dog Handlers Guild of Requiem.  PayPal or Square Invoicing is used and will be sent to the email address above after confirmation of number of species joining. *
Required
Date of Birth MM/DD/YEAR format
MM
/
DD
/
YYYY
Your Name *
Your Address - please include the entire address as if we were to need to mail something to you.
I/We are joining for the STEAMPunk Unit. (Please include that name and date of birth for each child)
I understand that a Parent/Guardian must be involved when registering a youth for the STEAMPunk Program
Are you on Facebook? *
Are you a current member of Starfleet Command - Quadrant One or Two? *
If yes, which chapter do you belong to? and what is your current rank?
Are you a member of Space Station Requiem Science Fiction Fan Club - Public Group?  "www.facebook.com/groups/SpaceStationRequiemPublicAccess" *
Are you aware that we have are a part of a website that maintains its own groups and forums? *
Next
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy