Fan Club Application Form 

Please enter your name?

First Name  
Last Name (or initial)   

Where are you from?

City  
State/Province  
Country  
Planet  
E-mail (optional)

How do you want your name displayed on the website?

First and Last Name
First Name and Last Initial
First name only
"Anonymous"

Do you want your e-mail listed on the website?

Yes
No

Do you want to be notified whenever the website is updated?

Yes
No

What is your primary relationship to the team? (Select one)

Related to a member of the team
Friend of a member of the team
Stalking a member of the team
Fan of the team
Opponent of the team
No relationship at all (and would like to keep it that way)

What possible reason do you have for joining this fan club? (Select all that apply)

I want to be associated with such a fun group
I want the free drink
I'm being forced to join by a member of the team
I just want to have my name on the internet     
I have no life
Membership can be used as evidence if I ever need the insanity defense in court
other                                           
Please explain:

Any other comments?