First Name *

The given name as seen on your student registration

Middle Name

Middle name or initial (optional)

Last Name *

Last name as seen on your student registration

Email Address *

@student.kpu.ca email address is highly recommended

KPU Student Number *

Required by Kwantlen Student Association for clubs to verify you're a KPU student

Expected Graduation Year

If unsure either leave field unselected or as the current year (optional)

Select Main Campus

Which campus location do you primarily attend to (optional)

Select Online Surrey Langley Richmond Tech (Cloverdale) Civic Plaza (Surrey Central) How Did You Hear About Us?

If not from the list please choose Other (optional)

Select Clubs Day Booth / Orientation Events (Gaming Dead, Multiplayer Madness, etc.) Friend(s), Word of Mouth KPU Services (Counsellor, Website, etc.) Social Media / The Runner KSA/Other Clubs Posters / Advertisements Internet (Facebook, Twitter, Instagram, etc.) Other (Not in this list)

Your Favourite Game Genre(s)

Check the genre(s) you play (Ex. Game includes MMORPG do MMO & RPG, optional)

Gamer Tag

Primary in-game username you use so that others can find you easier (optional)

Discord Tag

If you use discord and would like additional features with our Discord Bot in our server. Please copy and paste from the Discord application by hovering over and clicking your username. (Ex. johndoe#1234, optional)

Which Game Platform(s) Do You Play On?

If not from the list please choose Other (optional)