Mizu Con Staffing Form

First Name:

Middle Initial:

Last Name:

Email:

Message Board ID:

Contact Phone:

Address 1:

Address 2:

City:

State:

Zip Code:

Are you 18 or older?

Birthdate:

Shirt Size:
Small Medium Large X-Large 2X-Large 3X-Large

Department (1st preference):
Artist's Alley Con Operations Dealer's Room Gaming Security Video Room

Department (2nd preference):
Artist's Alley Con Operations Dealer's Room Gaming Security Video Room