Laney Evolved Minds Club Sign Up
Hi,

This form is for you to sign up for the Laney Evolved Minds club. By filling out this form, you will be added to the roster. You will also be sent the link to the Discord server if you haven't been sent it/aren't in it already. If you haven't made a Discord account yet, sign up here: https://discord.com/register as you will need an account before filling out this form.

Meeting Information:
When: Every Friday
Time: 10:00 am
Location: Room A140 (Zoom link available)

Note: If this form was sent to you through email, it probably has the Discord server link OR if you scanned the QR Code to the Discord server on a flyer, that's the Discord server for the club so please read the entire email before answering the third to last question.

You can only fill out this form once, so be sure to check everything you filled out is correct before submitting the form.

Thank you!
Email *
First Name *
Last Name *
Preferred Pronouns *
Required
Student ID *
Use your Laney student ID if you attend Laney. If you don't attend Laney, use the student ID of the main college you attend.
Which Peralta college(s) do you attend? *
Required
Discord username *
So we can tell who you are on the Discord server. This will be kept confidential.
Do you need to be sent the link to the Discord server? *
Please read the entire email you were sent if this sign up form was sent to you through email before answering this, it will probably have the link to the Discord server OR if you scanned the QR Code to the Discord server on a flyer, that's the Discord server for the club.
We occasionally take group pictures and upload them to a Google Slide for everyone to view. If we take group pictures and you're in it, would you be ok with pictures of you being in the Google Slide? *
How did you hear about Laney Evolved Minds Club? Select all that apply *
Required
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