W12 submission form
Sign in to Google to save your progress. Learn more
whats your gender  *
whats your discord user  *
What was your peak rank and which season was it in *
what was your rank last season *
How old are you *
what rank are you *
Are you subscribed *
what country do you live in *
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report