The Church of Julientology
my creed
1. if you think it...say it
2. if six is not enough and twelve too many...
then by all means get twelve
This is a form for my loyal followers.
Please note that most of the selections are drop down menus.

Your Name:
Your Name:
Date of Birth:
Your Email:
Webpage address:
Picture/URL address:

Where are you from??
Julien is the Coolest

If I could be anyone in the world I would be...

Julien is the greatest???

I plan to adore you...

Why I think Julien is the greatest...

 
 

Why should I allow you into the Church of Julientology??

Are you going be a loyal follower
Yes No

How would you describe your feelings towards me???

How would you describe your spirituality??

Astrological Sign: 

Anything else you would like to add???

Authorization:

I certify that the information contained within this application is true to the best of my knowledge...
I understand that any information found to be false terminates my membership in your cult.

Check box to agree with the above statement





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