Please fill in all fields marked with a *
	First Name	*
	Middle Name
	Last Name	*
	Nicknames
	Date of Birth
	Email	*
	Phone
	Mailing Address	*
	Your Favorite Color
	Interests and Hobbies
	Your Life Motto
	Things that are special about you that you think we should know
	What type of motivation are you looking to gain from your video	*
	Name up to 3 of your favorite songs
	Preferred Video Format	MPEG-4 (ipod) + Quicktime MovieDVD Only (no digitals)MPEG-4 + Quicktime Movie + DVD (Add $5)*
	Additional Comments