Free School Staff Memberships Contact Information Form

First name

Last name

Email

Note: We recommend you provide a personal email address rather than your school email address.

Phone

School or Organization

Grade or Teaching Area (optional)

What draws you to the Makerspace? What would you like to learn or create this summer?

Examples: 3D Printing, laser cutting, textiles, robotics, digital design, entrepreneurship or something new!

By signing below, I agree to follow all Makerspace safety rules and membership policies. My personal information will be kept confidential.

Applicant E-Signature (First and Last Name)

Date

Month

Day

Year