Contact Information Template

Please fill in your information below to sign up for the Violet Lens Pop Up

Studio on April 17th, 2021.

Thank you!

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* 1. What is your first name?

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* 2. What is your last name?

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* 3. What are your pronons?

she/her

he/him

they/them

she/they

he/they

other

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* 4. What is your phone number?

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* 5. What is your email address?

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* 6. What time slot would you like to attend?

3:00 PM

4:00 PM

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* 7. If under 18, please provide your parent/guardian's email address so they can sign a consent form for you.

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* 8. What's one question you hope we ask you in your on-camera interview?