Film Camp 2020 Registration

We are excited to introduce this year's youth summer programming, an evolution of the Filmpool's long-running film camp: YFAIR, our inaugural Youth Filmpool Artists in Residence program. Participants will have 8 days of learning, creation and mentorship from August 17th-19th and August 22nd-26th, 2022.

After 16 glorious years of our annual Film Camp for Youth, we decided it was time to shift our focus to supporting young artists in a structure that was different from a day camp. The artist residency model activates the creative and technical potential of participants in a collaborative and supportive peer based learning/creation environment.

If you need assistance filling out this registration form or would prefer to apply verbally, please contact the Filmpool Programming and Mentorship Coordinator and we can make accommodations!

Louise BigEagle

Programming and Mentorship Coordinator

programs@filmpool.ca

1 (306) 757-8818

Applicant's Information

Applicant's Name*

First NameLast Name

Preferred Name / Nickname

Age*

Pronouns

he/himshe/herthey/themOther

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Has the participant attended the Youth Filmpool Artists in Residence (formerly known as Film Camp) before?*

YESNO

Briefly describe why you wish to participate in the Youth Filmpool Artists in Residence in 2-3 sentences max.*

Briefly describe any past experience(s) you have in film or arts in general, in 2-3 sentences max.*

Parent/Guardian Information

Name*

First NameLast Name

Pronouns

he/himshe/herthey/themOther

Phone Number*

Area CodePhone Number

E-mail*

Preferred Contact Method

CallTextEmailOther

Emergency Information

Emergency Contact's Name*

First NameLast Name

Relationship*

ParentGrandparentGuardianOther

Phone Number*

Area CodePhone Number

Alt. Phone Number

Area CodePhone Number

Additional Info: (Allergies, Accessibility Needs, etc.)*

For more information about accessibility within the Filmpool space, visit filmpool.ca/access

Informed Consent and Acknowledgement

I give permission for the participant to sign in and out alone, and leave the building independently at the end of the day*

YESNO

I give permission for the participant to leave the building independently at lunch.*

YESNO

I give permission for the participant to leave the building for the duration of YFAIR (while accompanied by instructors) to shoot their film project.*

YESNO

Dietary Preferences

VegetarianVeganGluten FreeOther

We are planning to provide lunches/snacks throughout the week, however participants are more than welcome to bring their own. Will your participant be exclusively bringing their own food?*

YESNO

Will the participant need a weekly Regina Transit bus pass for transportation to and from YFAIR?*

YESNO

Media Release and Authorization

I hereby give my permission for images of my child, captured during Saskatchewan Filmpool Cooperative Summer YFAIR, to be used by Filmpool in promotional material and publications, waiving any rights of compensation or ownership thereto.

Media Release and Authorization

YesNo

Payment

This year's Youth Filmpools Artists in Residency will be offered *free of charge* for all participants thanks to our generous funding and partnerships with local organizations! If you are able and wanting to donate to the Filmpool, please contact executivedirector@filmpool.ca

Confirmation

BY ACKNOWLEDGING AND SUBMITTING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.

Agree

YFAIR - Youth Filmpool Artists in Residence 2022 - Registration