Rolling Rez Arts Summer Film Camp 2019
Registration Form
Email address *
Rolling Rez Arts Summer Film Camp 2019
The Film Camp will take place from Wednesday, July 10 - Sunday, July 14th, from 9:00 AM until 4:00 PM at Pejuta Haka OLC in Kyle, SD.

There are only 20 spots available in this camp, so please be sure to register if you would like to attend. If you register, we ask that you are able to attend all days of the camp. Participants must be 14+ years of age. If under 18, please provide contact information for your parent/guardian. Deadline to register is Friday, July 5th.

QUESTIONS?
Call Bryan Parker, First Peoples Fund Program Manager at (605-348-0324)
 

First Name *
Your answer
Last Name *
Your answer
Age *
Your answer
Tribal Affiliation *
Your answer
Email *
Your answer
Phone Number *
Your answer
Street Address *
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Parent/Guardian First Name
Your answer
Parent/Guardian Last Name
Your answer
Parent/Guardian Phone Number OR Emergency Contact Phone Number *
Your answer
A copy of your responses will be emailed to the address you provided.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of First Peoples Fund. Report Abuse - Terms of Service