Summer Camp Registration

Missouri State University's Department of Communication, Media, Journalism and Film will be our hosts for camp at Strong Hall. 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 27th - August 7th from 9am - 1pm. Lunch included!

Tuition is $565 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*

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.

YesNo

Yes

Plotline Film Class & Camp Policy

Any Allergies (including Food Allergies), Health Restrictions or Learning Challenges we should know of?*

YesNo

List two emergency contacts for the Student:*

Rows	Full Name	Relationship	Contact Number
1
2

How did you hear about this program?

TextEmail

YesNo

Pay Cash or CheckPay with Card

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

Tuition is $566

Card Payment Options

Full Tuition

Pay Full Tuition

$566.00

Half Tuition

Pay half now. You will be invoiced for the other half the first week of camp. Processing fee is included in the total.

$293.00

Total

$0.00

Credit Card