Reel Adventures Application

Reel Adventure is a summer program designed for middle school students to learn hands-on media skills and explore their interest in film.

Open to all students currently in Middle School.

Student's Name(Required)

First Last

Parent's Name(Required)

First Last

Student's School(Required)

Grade Level(Required)

Age(Required)

Personal Pronouns(Required)

You selected other, please tell us your personal pronouns

Date of Birth(Required)

Address(Required)

Street Address Address Line 2 City State ZIP Code

Guardian's Email(Required)

Guardian's Phone(Required)

Student's Email(Required)

Student's Phone(Required)

Emergency Contact(Required)

First Last

Emergency Contact Phone(Required)

Medical Information

How did you hear about Reel Adventures? Check all that apply

Social media

Web

Playbill

Flyer

Word of mouth

Other

Please specify "other"

Dear patrons: