Laney Evolved Minds Club Sign Up
Hi everyone,

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 Wednesday
Time: 2:00 pm - 3:00 pm
Location: A120 of A Complex Building (Zoom link available for those unable to attend in-person, will be on Discord)

Note: If this form was sent to you through email, it probably has the Discord server link, so please read the entire email before answering the 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.
Discord discriminator *
4 digit tag after username. This will be kept confidential. For those new to Discord, you will be given a Discord discriminator after creating your account.
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.
How did you hear about Laney Evolved Minds Club? Select all that apply *
Required
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