Filmmaking Registration Form


*Membership#:**		* Required Fields
*First Name:**
*Last Name:**
*Email Address:**
*Phone Number:**
*	Which Department are you most interested in? (can be changed)
*Department:**
*	Please briefly describe your reasons for wanting to join this program:

	Acknowledged and Agreed: I, the members registering listed above, agree to accept and follow the AGOAC Code of Conduct as well as the Program Rules and Regulations.
	* Yes, I Agree!