Rochester Lego User Group Membership Form
This form is to gather important contact information and optional interest information from our members. We do not share this information with anyone outside of our group and restrict it's use internally to active leadership in the LUG.

If you have questions or concerns about any of the questions or content of this form, please contact us at info@rochlug.org prior to completing this form.

First Name *
Your answer
Last Name *
Your answer
LUG Nickname *
We may occasional create name tags or display tags. This is an optional community name you can specify.
Your answer
Primary Phone *
Your answer
Primary Email *
Your answer
Member Website
If you want to share with us your personal Lego themed site, which we may with your permission feature on occasion in LUG materials.
Your answer
Date of Birth
Your exact age is optional; however, we need to know if you are under 18.
MM
/
DD
/
YYYY
Are you under 18? *
Members under 18 will need their guardians to provide additional information.
Regional Chapter Affiliation *
Please select the geographic area you would most likely attend meetings and events.
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