Young Creatives: Film School Application Form
Use this form if you'd like to sign up to take part in our free Film School. This is a three day workshop that will introduce you to many skills and techniques involved in the filmmaking process. These sessions are aimed at 15-23 year olds

When? Wednesday 24th - Friday 26th October 2018
What Time? 11am - 4pm
Where? Ventnor Exchange (11 Church Street, Ventnor, PO38 1SW)

First name *
Your answer
Surname *
Your answer
Age *
Your answer
Date of birth *
Your answer
Address *
Your answer
Email *
Your answer
Phone *
Your answer
Which school or college do you attend if applicable?
Your answer
Emergency Contacts and Information
Please ensure you provide us with current emergency contacts for a next of kin / parent / guardian.
Name of emergency contact *
Your answer
Emergency Contact Phone 1 *
Your answer
Emergency Contact Phone 2 *
Your answer
Relationship to you *
Your answer
Do you suffer from any allergies or illnesses, or are required to take regular medication? *
If so please describe, if none leave blank.
Your answer
Do you have any additional needs? If so, please let us know as much as possible and if there are any ways we can help support you.
Your answer
Where did you hear about our Film School?
Your answer
Do you give Ventnor Exchange full permission to use images of your child participating in workshops, which reasonably promote or advertise Ventnor Exchange's Young Creative opportunities? This may include our printed publications; adverts; audiovisual and electronic materials; media work; display materials; and any other media we may use in the future. The images will not be used for any other purpose and are owned solely by the Ventnor Exchange.
Thank you for signing up to the Ventnor Exchange Film School!
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