JaPS Membership Data / Application Form
This form is used for the collection of data for members and prospective members applying for membership.

Data collected will only be used for the sole purpose of the society and will not be shared with any third party.
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Name *
Address
Email Address *
Telephone Number *
Please enter in the format: XXX-XXX-XXXX
Emergency Contact
Provide a person who should be contacted in case of emergency
Emergency Contact Number
Contact number for emergency contact
Profile *
Tell us a little about yourself and your photography
What genre(s) of photography do you practice? *
Required
Membership Status *
Are you a current member or applying for membership?
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