You must be a fan of James T. Kirk, of course.
Please use your real name or a pseudonym.
Have a working email, you can hide it if you don't want it displayed.
You don't need to have a website, but if you do there is no required link back.
Please use one of the following images or a simple text and link it to http://daughter-of-anubis.pw/kirk. You are also free to make your own images codes. But please DO NOT DIRECT LINK; upload the images to your own site or a place like imgur if you have to.