Advanced Filmmaking Camp Application

Acceptance into this camp requires prior participation in an Outcry Theatre Filmmaking camp, or comparable filmmaking experience. Please explain your qualifications below.

Prior Filmmaking Experience *

Student Information

Name *

Phone Number *

Street Address *

City, State, Zip *

Student Email *

Date of Birth *

Grade Level *

School *

Parent 1 Name *

Parent 1 Phone Number *

Parent 1 Email *

Parent 2 Name

Parent 2 Phone Number

Parent 2 Email

Emergency Contact *

Phone Number *

Relationship *

Medical Information

Allergies or Medical Conditions

Current Medications

Relevant Medical History

Drop Off and Pick Up Policy

Students can be dropped off 15 minutes before camp begins and must be picked up by 15 minutes after the camp ends.

Drop Off and Pick Up Policy

This filmmaking camp will involve travel to locations for filming purposes in the local area, to be determined based on the film. By checking this box, I agree to allow my child to drive to the locations, or be driven by another student or staff. (Feel free to contact outcrytheatre@gmail.com if you only want your student driven by staff.)

Parental Agreement *

I agree

Acknowledgement of Registration, Payment Policy, and Liability Waiver

I understand the drop off and pick up policy and that tuition is non-refundable. I further hereby release Outcry Theatre staff, board, teachers, and volunteers, from any and all injuries. I, my heirs, and representatives agree to indemnify, save and hold harmless Outcry Theatre from any and all claims made by me, my youth, any other family member, or my insurer, for any injuries, or damages related to this event. I agree that Outcry Theatre has the right to use photos or videos of my youth for publicity purposes without payment to me or my youth. *

I agree