Fuzzy Declaration Form
Church of the Cosmic Bunny (www.bunnychurch.com)

IMPORTANT!: If form does not go through the 1st time,
double-check everything! Fields may return to default!

* = Required Field

Bunny Name *

city and state/province

country (according to human maps - i.e. US, Canada, etc) *

Display my Bunny Name & location info on the Fuzzy Members Page yep

Email address (will be kept private)

age category *

How I first found the Church *

I love Bunnies * YES

I believe in the Cosmic Bunny * YES

I wish to awaken my Inner Bunny * YES

I have read Cosmic Bunny Our Basic Beliefs * YES

I have read Church Bunnydoctrine * YES

I have read Guide for Healthy Bunnyliving * YES

I promise to tell at least 3 others about the Cosmic Bunny * YES

I VOW TO TRY TO BE A VERY GOOD LITTLE FUZZY * YES

Wanna be friends? MYSPACE url or name (kept private)

Comments (if ya have any)

Image Verification

Please enter the text from the image:
[ Refresh Image ] [ What's This? ]