Declaration

    Please provide your name, email and phone number:



    I have played the following video games (Please select all that apply):



    During at least one gaming session when playing oe of the selected games above, I had the following social media and other accounts (Please select all that apply):






    Please verify that you created your account BEFORE May 2024:

    Please verify that you are at least 18 years old:

    Signature: