POWGirls Music Video Camp Registration

    Participant's Information

    POWGirls Music Video Camp

    Who: Girls 15-19 What: POWGirls Music Video Camp, an intensive filmmaking workshop When: Friday, October 21- 5pm-8pm / Saturday October 22- Noon-7pm / Sunday, October 22, Noon--7pm Where: Portland Community Media 2766 NE Martin Luther King Jr Blvd, Portland, OR 97212 Food: Bring your own meal and water bottle; snacks will be provided Tuition: $150 If your family cannot afford full tuition, please complete the financial aid information below. NO APPLICANT WILL BE TURNED AWAY DUE TO LACK OF FUNDS. Enrollment Limit: 12 ELIGIBILITY Participants should be 15-19 year old girls/self-identified girls who are interested in learning how to make a professional movie with a team from start to finish. Girls may be interested in pursuing further studies in drama, film, TV, advertising, marketing, business, etc. Participants must commit to attending every day of the workshop; the work is intense but fun!
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    Parent/Guardian

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    Emergency Contacts

    Please provide two additional people, different from the parent/guardian listed above.
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    Additional Information

    Please list all known conditions so we can accommodate your needs to the best of our ability.
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    Minor Release Form

    I give permission for The Portland Oregon Women's Film Festival (POWFest) and Portland Community Media (PCM) to use my child or ward's image for broadcast on their channels, as well as distribution on the Internet, public screenings and in promotional materials about POWFest/PCM and their services. I understand that these images will be obtained during the child's participation in the POWGirls program. In addition, I also give permission for my child's video work to be used as programming on PCM's channels and in promotional materials. To retract my permission, a request to remove this form from POWFest files must be made in person or by certified mail.
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    Participant/Parental Disclosure and Responsibility Agreement

    To ensure the success of The Portland Oregon Women’s Film Festival (POWFest) & POWGirls program, the health, welfare and safety of all youth involved will be prioritized. All participants will be required to conduct themselves in a safe, courteous and cooperative manner while participating in workshops. This means: • Treating all participants and instructors with respect • Following the directions of adult instructors and volunteers • Engaging in safe, non-violent behavior • Careful handling and operation of equipment I understand that the use of the MetroEast facilities includes using video cameras, microphones, audio recording and mixing equipment, lights, computers and other electronic equipment. I agree to assume responsibility for my child’s use of the facilities and equipment. Failure to follow appropriate POWFest/PCM rules of conduct may result in an immediate call to participant’s parent or guardian and possible removal from the program. By writing my name below, I have read the expectations and agree to accept them as appropriate and acceptable.
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    Get to Know You

    Please respond to the following questions in short paragraph form using complete sentences and appropriate grammar.
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    Full Tuition

    Full tuition is $150 for the program--that covers 17 hours of instruction and production, equipment and snacks, etc. If your family cannot afford full tuition, please complete the financial aid information below. NO APPLICANT WILL BE TURNED AWAY DUE TO LACK OF FUNDS. Once you are registered, you will receive an invoice payable via check.
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    Financial Aid (optional)

    POWGirls strives to be accessible to girls of all financial backgrounds. Our ability to give financial aid helps the success of our organization. Applying for financial aid will neither increase nor decrease your chances of getting into the program. If you need financial assistance, please answer the following questions. You may be contacted for a follow-up phone interview.
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