RISING REELS REGISTRATION FORM

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Welcome! Take a moment to answer all the questions. We invite you to join the club. We look forward to meeting you. Someone from our staff will be in touch with you via email soon.

Email *

1. STUDENT NAME *

2. PARENT NAME *

3. EMAIL ADDRESS. *

3A. MAY WE KEEP YOU UPDATED WITH UPCOMING ACTIVITIES? *

Yes

4. AGE *

NAME OF SCHOOL *

5. ETHNIC BACKGROUND *

6. What Part of Film Making Interest You? *

Writing

Directing

Lighting

Set Design

Hair/ Make-up

Wardrobe

Producing

Production Assistance

Assistant Directing

Camera

Acting

Required

7. Do you have any experience working with Film or Stage? *

Yes

8. If Yes, What Type?

9. Rising Reels offers scholarships and discounts do you fill you financially need this to attend the Summer Camp? *

Yes

If yes which one? Scholarship or Discount?

Other:

11. How Did You Hear About Us ? *

12. Would you be interested in working with a mentor for the local Production Companies on a real set?

Yes

Clear selection

Do you have Food Allergies? *

Yes

If yes to Food Allergies, then what type? If non put N/A. *

A copy of your responses will be emailed to the address you provided.

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