First Name *

Last Name *

E-mail *

Pirate Name (Don't have one yet? Say "N/A") *

Who you are staying with, If Open Camping say "N/A" *

Land Grant/Dock - Are these Land Grant/Dock hours? (click yes or no. Unsure? Click "no") Dock Yes
Dock No
Land Grant Yes
Land Grant No

Who gets credit for your Land Grant/Dock hours? (N/A if not Land Grant Hours)

Did you check to make sure Autofill hasn't entered garbage? *

Pronouns/Preferred Name

Do you want these hours to be part of the Deeds Lottery? Yes, Add these hours to my Deeds Card
No, I do not want to participate in the Lottery

Answer the following: 7 + 1 = __ *

* = required

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