Spring Break Music Video Camp

Mon, 12/21/2009 - 12:23 — maile

Open to beginning and advanced media-makers! Learn music video production from professional women media artists. Make a music video for a local band in an all-girl non-competitive environment. Get hands-on experience with state of the art technology and support from adult women mentors.

Open to young women ages 13 - 19.

View examples of Reel Grrls work.

How to apply: Complete and submit the online registration form below. Then print and sign the Permission/Release Agreement and return it to Reel Grrls: 1409 21st Ave, Seattle WA 98122

Note: your application is not complete until you have submitted both the online form and the permission form!

Dates: Spring Break: March 29 - April 2, 10:00 AM - 4:00 PM
Location: Reel Grrls New Media Lab in Seattle's Central District, 1409 21st Ave, Seattle, WA 98122
Who can apply: Young women ages 13 - 19, Beginning and Advanced Media-Makers Welcome!
Cost: $215. Pay-what-you-can. No one turned away due to lack of funds.
Application Deadline: March 22, 2010

Don't forget to print and sign the release form and return it with payment to Reel Grrls at 1409 21st Ave, Seattle WA 98122. Your registration is not confirmed until we receive your release form and payment voucher.

Please contact Program Manager Maile Martinez at (206) 393-2085 or maile@reelgrrls.org with any questions.

Contact Info

Participant Name: *

Address: *

City: *

State: *

Zip: *

Phone: *

Participant Email: *

Parent/Guardian Name: *

Parent/Guardian Address, if different from above:

Parent/Guardian Phone: *

Parent/Guardian Email: *

Parent/Guardian Name 2:

Parent/Guardian Address 2, if different from above:

Parent/Guardian Phone 2:

Parent/Guardian Email 2:

Teen lives with :

Mother

Father

Guardian

Other

If 'other':

Optional Identity Questions

This information is for recording purposes only. It does not affect acceptance of your application in any way.

Other:

Program Application

Please tell us about yourself by answering the following question. Feel free to submit your answer in the form of a poem, script, photo, collage or video - anything that tells us about you.

If you could make a video for any song, which song would you choose? Why?: *

Attachment (if any):

Upload a file to accompany your application.

Confidential Sliding Scale Payment Info

Reel Grrls is committed to serving grrls of all economic levels. All of our program fees are based on a pay-what-you-can system. You may also choose to pay in installments. Please make a minimum payment of $20 with your application.

How much can you contribute toward the $215? (please send with your payment voucher): * $ .00

Additional amount to contribute to the Reel Grrls Scholarship fund:: $ .00

Confidential Medical and Emergency Information

This information does not affect the acceptance of your application in any way. It purely enables Reel Grrls to create a safe and healthy environment for you as an apprentice, should your application be accepted.

Emergency Contact Name: *

Emergency Contact Relationship: *

Emergency Contact Phone: *

Medical History

Do you have any physical complaints or chronic illness at this time?: *

YES

Have you had injuries in the past (i.e., back, knee, etc.)? : *

YES

Are you currently taking medications of any kind?: *

YES

Dietary Needs:

I am a vegetarian

I don't eat dairy products

I have other dietary needs

Any additional information (diet or medical information)?:

Friend me on:

Facebook and my username is:

MySpace and my username is:

Twitter and my username is:

Flickr and my username is:

YouTube and my username is:

CAPTCHA

Are you a human or a machine? Just checking!

What is the fourth word in the phrase "uha eqil ajucev egik"?: *

Lucia

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Spring Break Music Video Camp