Mechanical Eye Youth Classes Registration - Spring 2017
Filmmaking After School
Youth (2nd-6th grade) / Mondays 3:30-5pm / Flexible dropoff & pickup 30 minutes before/after each class
Instructor: Lisa Smith & Charlotte Taylor
Cost: $95/month OR sign up for the rest of the semester (March - May) for $250!
*Note: January we will be making a film for the 90 Second Newberry festival based on the book: My Father's Dragon

Filmmaking After School 2 **This class will only open if the first class fills!
Youth (2nd-6th grade) / Wednesdays 3:30-5pm / Flexible dropoff & pickup 30 minutes before/after each class
Instructor: Lisa Smith & Charlotte Taylor
Cost: $95/month

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 camp related policies and programs. *
Required
Basic Information
Student Name *
Your answer
Which session are you registering for? *
Required
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 downtown (within a 1 mile radius) of The Refinery 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!

Tuition for one month is $95. Tuition for the remainder of the semester (March-May) is $250. If you are in need of financial sponsorship for your student, or if you'd like to sponsor another student, please email us at mechanicaleyemicrocinema@gmail.com.

Tuition is due on the first day of class each month. Payments can be made via cash or check to Mechanical Eye Microcinema. Please put the class & student name on your checks!

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