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Start City Chapter Form
First Name
Last Name
Age
Location
Phone Number
Email
Tell us a little about yourself:
Are you involved with any other groups? Briefly name and describe what they are about:
What are some of the films that you'd like to feature with some of your first couple film screenings?
What are you good at? List or describe any notable skills or experience you have (but don't worry
if you can't think of anything):
What subjects are you interested in?








Select as many as you like
Do you agree with our group's mission and principles?