Plotline Summer Camp Registration

Missouri State University's Department of Communication, Media, Journalism and Film will be our hosts for camp. Specifically, we will be in Strong Hall on campus. We will provide a detailed map along with pick up and drop off instructions prior to the first day of camp. This program is designed for youth, ages 11-17, who have a keen interest in film and/or media production.

Experienced creators and those new to production are welcome!

When: Mondays through Fridays, July 28th - August 8th from 9am - 1pm. Lunch included!

Tuition is $550 for the 2 week camp.

Looking for a scholarship? Please apply asap at least one week before camp and before filling out this application.

Where: Strong Hall - 900 S Holland Ave, Springfield, MO 65897. Pick up/drop off and other information will be emailed prior to the start of camp.

For any questions or concerns please contact us at plotline@plotlinefilm.org or (417) 986 - 3286.

Student's Full Name*

First NameLast Name

Birth Date

Date

Parent/Guardian Name*

First NameLast Name

Your Phone Number - Also used for Class Text Updates*

Should Class Text Updates also be sent to an additional number?

YesNo

Name*

First NameLast Name

2nd Phone Number for Class Text Message Updates*

Email*

example@example.com

Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Student Shirt Size

If you chose "Other" for Shirt Size, please describe size here.

I have read and my student and I agree to the terms of the Filmclass Policy*

Yes

Plotline Film Class & Camp Policy

Any Allergies (including Food Allergies), Health Restrictions or Learning Challenges?*

I can provide proof of health insurance for the Student:*

YesNo

List two emergency contacts for the Student:*

	Full Name	Relationship	Contact Number
1
2

How did you hear about this program?

How would you like to receive updates on this camp?*

TextEmail

Would you like to subscribe to the Plotline newsletter?*

YesNo

Tuition Options*

Pay Cash or CheckPay with Card

Please bring Cash or Check made payable to, Plotline, to the first day of camp.

Tuition is $550

Card Payment Options

Full TuitionPay Full Tuition

$550.00

Half TuitionPay half now and the other half the first week of camp. Processing fee is included in the total.

$285.00

Total

$0.00

Credit Card