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Bloom Community Registration
User Information
Please tell us a little about yourself! All users must be between the ages of 13 and 19, and must be current or former military dependents.
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1.
First Name
(Required.)
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2.
Last Name
(Required.)
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3.
Current Age
(Required.)
13
14
15
16
17
18
19
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4.
Email Address
(Required.)
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5.
What is your Discord user name and #?
(Required.)
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6.
Please briefly describe your military affiliation.
(Required.)
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7.
Where are you currently stationed/located?
(Required.)
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8.
What is one thing about military life that you enjoy and one thing that you could do without?
(Required.)
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9.
By checking this box, I certify that I have read and agree to abide by the
Bloom Community Code of Conduct and accept the Terms of Use.
(Required.)
I agree
