Summer 2023 Week 1 Registration

Week 1 Registration: June 19 – 23

Child Information

First Name *

Last Name *

Age *

Grade *

Name of School *

Information

If paying by check, your check must be received within 10 days of registration or your registration will be deleted.

Scholarship application will be available in January—you will get an email notification. A $150 deposit required at the time of registration even if you are applying for scholarship.

Be careful to choose the week(s) that works for your family—Registration change requests will be granted for a $50 reschedule fee and only if there is room to do so.

If paying by Paypal, click on the Pay Now button that will appear on the next page after you submit this registration form.

Payment

Optional payment plan available: $150 deposit due at the time of registration to hold your spot. Payments can be made at your scheduling with the total balance due by June 1st, 2023.

Pay Full Amount of $850 by PayPal (+$25 processing fee)

Pay Full Amount of $850 by Check

Use The Payment Plan and Pay $150 Deposit by PayPal (+$25 processing fee)

Use The Payment Plan and Pay $150 Deposit by Check

Email *

Home Phone *

Best Parent Contact Number *

Alternate/Emergency Contact Number *

Address

Apt, suite, etc.

Country

City

State

Zip code

Physician Name *

Physician Phone Number *

Any Medical Concerns?

Any Diet Restrictions?

Anything Special We Should Know About Your Child?

Select Film Rating *

Either One Is Okay

All films made during summer camp will be either G rated (see Gopher Dreaming, Lost On Barduino, The McGuffin, Fantasy A’hoy, & Clementine) or PG rated (see Slotter Room, Blood Sisters, The Spaghetti Monster, Retirement, & Zombie Pizza Party).

Liability & Media Release forms printed & signed? You can either mail these in to us with your check payment or bring them in to the first day of camp. Forms will be ready in January. You will get an email.

Because we know that some filmmakers are only interested in one or the other, please indicate:

I want to be a filmmaker behind the scenes! (Examples: directing, camera, boom operator, sound mixer, key grip, gaffer)

I want to be an actor in front of the camera!

I want to work behind the scenes as well as act in front of the camera.

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