Mechanical Eye Youth Classes Registration - Spring 2018
Filmmaking After School
Youth (2nd-6th grade) / Tuesdays 4-5:30pm
Instructors: Charlotte Taylor & V Kornfeld
Location: Puppet Clubhouse, 37 E Larchmont Rd
This class is now free, but donations help us purchase supplies and equipment for the students, and we welcome any/all donations.
Nondiscrimination Policy
Mechanical Eye Microcinema values diversity and does not discriminate on the basis of age, race, economic status, gender expression, size, physical ability, developmental ability, learning style, nationality, religion, citizenship status, or sexual orientation in the administration of its educational programs, admissions policies, sponsorships, and other class related policies and programs. *
Required
Basic Information
Student Name *
Your answer
What is your student's current age?
Your answer
Parent/Guardian Name
Your answer
Parent/Guardian Email
Your answer
Parent/Guardian Phone
Your answer
We may be walking around (within a 1 mile radius) of The Puppet Clubhouse to shoot these films. Students will be supervised by the instructor at all times during these excursions.
Emergency Contact Information
Emergency Contact Person *
Your answer
Emergency Contact Phone Number *
Your answer
The following people may pick up my child:
Your answer
We may have popcorn during class. Is it okay for your child to eat popcorn? *
Tuition
Mechanical Eye Microcinema is a volunteer-operated, non-profit organization powered by fundraisers and donations from our community. These contributions help us acquire the resources we need to enrich our classes and provide students with supplies, equipment, a place to film, and a hands-on, participatory and supportive filmmaking experience!

This class is now FREE, but all donations help us continue to offer these classes to students!

Media Release
Mechanical Eye Microcinema & class instructors will post digital versions of all work made in classes online. Any photos, recorded (video or audio) and written materials created for and/or during Mechanical Eye Microcinema classes may be used for promotional purposes by Mechanical Eye Microcinema & class instructors in the future.
Student, please type your name to acknowledge that you agree to our media release statement/policy. *
Your answer
Parents please type your name to acknowledge that you agree to our media release statement/policy. *
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service