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MakerSpace Equipment Membership Application

Name(Required)
MM slash DD slash YYYY
MM slash DD slash YYYY
Address(Required)
What equipment will you use the most at Utility Works MakerSpace? (check all that apply)(Required)
What type of membership you would like? (choose one)(Required)
(Access and use of equipment is permitted only during office hours 12-8pm Tues-Fri | 10am-6pm Saturday)
Are you at least 18 years of age or older?(Required)
(You must be at least 18 years or older to secure a membership at the Utility Works MakerSpace. If you are under the age of 18 you can purchase a junior membership, 20% discounted rates, that is attached to an adult membership, parent or guardian, who will be here with you at all times.)
Will you be using our equipment for your business?(Required)
Emergency Contact:(Required)
Name
Phone
Email
 

How comfortable / proficient are you with the following equipment ?

(please check one of the circles for each equipment so we have a better idea of how we can help.)
3D Printers(Required)
Sublimation Printers(Required)
Large Format Printer(Required)
Vinyl Cutter(Required)
Glowforge(Required)
Heat Press(Required)
Software ( e.g. Cura, Blender, CAD and Adobe suite )(Required)
Embroidery / Sewing Machine(Required)
Tufting Gun(Required)