Technocopia Member Registration
Contact Info
Name (Last, First) *
Your answer
Phone *
Your answer
Email *
Your answer
Home Address *
Street, City, State, Zip
Your answer
Emergency Contact
In the event of an emergency, the first person we should notify.
Name *
Your answer
Relation *
Your answer
Phone *
List more than one if necessary.
Your answer
Membership
Membership Type *
Rental Space *
Will you be renting storage or personal work space with us?
Volunteering *
Technocopia is a member and volunteer driven community. We are always in need of volunteers for our non-profit organization. Please select if you have any interest in volunteering with us.
If yes, in what area would you like to get in involved? *
Code of Conduct
*
Required
Community Relations *
It is important that our members have a history of good relations in maker spaces they have worked with in the past. Do you have any outstanding grievances or accusations of foul/misbehavior in past maker spaces in or outside of the state of MA? If yes, Technocopia staff may need to meet with you before your application for membership can be further processed.
Release and Waiver of Liability
Please review our Release and Waiver of Liability agreement here:

https://drive.google.com/file/d/0B1pu25WzUJBhaHg3dUp2cEZTcG8/view?usp=sharing

*
Required
Media Release
Technocopia uses several forms of media for promotional and educational purposes such as photo, video and audio. From time to time, members may be asked to be recorded or be made aware that a recording is taking place. Recordings may be published publicly on the web or in hard copy. If a member wishes to remain anonymous or undocumented, it is their responsibility to inform whoever is conducting the recording at that time.
*
Required
Electronic Signature
I have read and understand all documents included in this form and agree to their terms and conditions.
Full Name *
Your answer
Date of Birth *
DD/MM/YYYY
Your answer
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