Plotline Summer Camp Registration
The Moxie Cinema will host Plotline's "On Location" Teen Filmmakers Camp; a two week summer camp for teens (13 -18). New as well as experienced filmmakers will learn and refine their skills as they produce original shorts while filmming on location in historic downtown Springfield, Missouri. When: Mondays through Fridays, July 12th - 23rd from 9am - 1pm. Lunch included. Where: 305 S Campbell Ave #101, Springfield, MO 65806. 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 email@example.com or (417) 986 - 3286.
Student's Full Name
Parent/Guardian Full Name
Street Address Line 2
State / Province
Postal / Zip Code
Student Shirt Size
If you chose "Other" for Shirt Size, please describe size here.
Dietary or Health Restrictions:
I can provide proof of health insurance for the Student:
List two emergency contacts for the Student:
Would you like to subscribe to the Plotline newsletter?
How did you hear about Plotline & this program?
( X )
Full Tuition Upfront
Pay Half Now and Half the First Week of Class
Credit Card Number
Should be Empty:
Now create your own JotForm - It's free!
Create your own JotForm