"Reel” Inspiration Camp Application Filmmaking 101 Sponsored by UMKC and Reel Spirit, Youth Division of the Kansas City FilmFest UMKC, Communication Studies Dept. Haag Hall Rm. 101, 5120 Rockhill Road, KCMO 64110 (Type or print clearly; you will receive confirmation if all information is complete and legible) Child's name:_____________________________________________________________________________________ Birthday: ________/________/________ Grade : __________ School: _______________________________________ Parent/guardian name(s):___________________________________________________________________________ Address: ________________________________________________________________________________________ City, State & ZIP:__________________________________________________________________________________ Home phone: _______________________________ Cell #(s):______________________________________________ Parent/guardian email address(es): ___________________________________________________________________ Parent/guardian signature:____________________________________________________________ Emergency contact name: _____________________________________________________________ Phone number: ____________________________ Relationship: _______________________ How did you hear about “Reel” Inspiration Camp? _________________________________________ Registration information: June 15-17, 2015; 9:00 am - 3:00 pm daily Ages 10-14 as of March 1, 2015 Cost: $100, prepaid/nonrefundable; limited openings Includes the use of film equipment & DVD of final project Checks, cashier checks or money orders only, made out to: Kansas City Filmmakers Jubilee Registration is complete when you receive email or phone confirmation. Registration deadline: May 8, 2015 Participant’s experience (no experience necessary): Rate your filmmaking experience (4 is high, 0 is none) 0 1 2 3 4 Which computers do you have experience? (Circle all that apply) Mac PC iPad Other______________________________ Which film editing programs do you have experience? (Circle all that apply) iMovie MovieMaker Final Cut Other_________________________ Please list any medical or physical concerns:___________________________________________(over) Questions: email: [email protected] or call: 816-524-3237 Please send application and payment to: Reel Spirit c/o Linda Thee 425 SW Wintergarden Ct. Lee's Summit, MO 64081
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