Membership Application

Personal Details

Name

Legal Name * (Only your first or preferred name will be publicly visible)

Preferred Name

Contact Information

Email *

Cell Phone Number *

Social

Personal Facebook

Personal Twitter

Personal Instagram

Personal Website

Cosplay Details

Name

Cosplay Name

Social

Cosplay Facebook

Cosplay Twitter

Cosplay Instagram

Cosplay Website

Professional (Photography, Videography, etc.) Details

Name

Professional Name

Social

Professional Facebook

Professional Twitter

Professional Instagram

Professional Website

Legal