Summer 2022 Week 5 Registration

Week 5 Registration: July 18 – 22

Child Information

First Name *

Last Name *

Age *

Grade *

Name of School *

Information

Payment Method *

I Am Paying By Paypal

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.~~ All Summer 2022 scholarships have been awarded.

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: $150 non refundable deposit due at registration to hold your spot, then equal payment of $150/month due Feb. 1, Mar. 1, Apr. 1, with the total remaining balance due May 1. If you sign up for multiple weeks and/or multiple children you will receive a $50 discount per week.

Pay Full Amount of $850 Now

Pay Full Amount of $850 Now ($50 discount for multiple weeks and/or multiple children)

Use The Payment Plan and Pay $150 Deposit Now

Use The Payment Plan and Pay $150 Deposit Now ($50 discount for multiple weeks and/or multiple children)

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).

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.

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.

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