TCPG Membership Application v1

* First Name

* Last Name

Street Address

City, State

Zip Code

* Phone Number

* Email Address

Secondary Member Name (if applicable) *Must reside in same household to be eligible

* I consider myself to be in the following class of photographer:

Beginner

Intermediate

Advanced

I enjoy photographing the following subjects and/or types of photography: (Select all that apply)

I am joining the Treasure Coast Photo Group because I would like to: (Select all that apply)

* I agree to abide by the rules of the Treasure Coast Photography Group when participating in group related activities. I agree to indemnify and hold harmless the Treasure Coast Photography Group from liability resulting from my participation in any group activities.

I Agree