Tree Pine Intake Form

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"Welcome to Tree Pine! A safe home for the tired and weary. Please fill out the form below to be considered for admission."

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Basic Information

Name:

Pseudonym:

Age (adjusted for inflation):

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Intermediate Information

Red blood cell count:

Number of intact limbs:

Number of intact optics:

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Advanced Information

Number of ghosts seen:

Which ethereal planes have you visited:

Experience with extra-dimensional beings:

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Submit