LRP EN ACTION – Application Form

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Welcome

Hi there, please fill out and submit this form.

9Questions

1
Name* This field is required.
First Name
Last Name
2
Date* This field is required.
Date
Year
Month
Day
3
Email* This field is required.
example@example.com
4
School / Grade:* This field is required.
5
Do you have any experience in acting, writing, filming, or theatre?* This field is required.
YesNo
6
What topics or social issues interest you the most?
Bullying
Health
Mental
Racism
family challenges
7
What part of the program interests you?* This field is required.
Acting
Writing
Filmmaking
Editing
Theatre
8
Are you available for the full summer program?* This field is required.
YesNo
9
Parent/Guardian name (if under 18):
Should be Empty:

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