Minecraft General Registration Form

Player's First Name

Player's Last Name

Player's Email (if applicable)

Player's Birthdate

Player's Username on Minecraft

Player's Username on Discord (if applicable)

Trusted Adult Contact First Name (if under 13: otherwise type n/a)

Trusted Adult Contact Last Name

Email of Trusted Adult Contact

I HAVE READ THE RULES LISTED AT https://www.victoriatheater.org/rules.html AND AGREE TO FOLLOW THEM. I UNDERSTAND THAT IF I FAIL TO DO SO I MAY BE KICKED OR BANNED FROM THE SERVER.

I would like to recieve emails from VTAC's dedicated Minecraft emailing list

YesNo