Registration GNAT Cabin Fever Camps 2020

2020 Cabin Fever Camp Registration

All workshops are from 9am-3pm at GNAT-TV STUDIO - Ages 7-12
Camper Info:
Camper First Name:*
Camper Last Name:*
Gender:*

MaleFemale
Address:*
City:*
State:*
Zip:*
Birth Date:*

MonthDayYear
Current Grade Level*
Parent or Legal Guardian Info:
1) Parent/Legal Guardian Name (First, Last) :*
Relation to Camper:*
Work Phone:*

Area CodePhone Number
Cell Phone:*

Area CodePhone Number
2) Parent /Legal Guardian:*
Relation:*
Work Phone:*

Area CodePhone Number
Cell Phone:*

Area CodePhone Number
Email:
- Please enter your email address correctly on this form to receive communications.
Parent/Gaurdian email:*
Repeat Parent/Gaurdian email:*
Camper email:
Health Information:
1) Emergency Contact Name (First, Last):*
Emergency Number:*

Area CodePhone Number
2) Emergency Contact:*
Emergency Number:*

Area CodePhone Number
What was the date of your child's last tetanus shot?*
Are other immunizations up to date?*

YesNo
If immuniztions are not up to date, please explain:
Please list any activites the camper should be restricted from:
Please list any physical, mental, or other conditions that would require special attention or medication while at camp:
Please list any known allergies (e.g. bees, peanuts, dairy, eggs). If none, type none:*
Camper Other Information:
What are your favorite hobbies and subjects in school
Fine Arts/Graphic Design/Video Interest

Not InterestedWritingPerforming ArtsFilm MakingMusicGraphic Art/Photo/Painting/DrawingCookingStorytellingCostume and Set DesignDirecting/ProducingCamera Operator/Lighting/AudioReadingAnimationOther
How did you hear about GNAT Cabin Fever 2020 Camps?
First-time Camper:

YesNo
I agree that photos/video of my child can be taken and used for television broadcast, promotional purposes, including web and printed media:*

Yes - You Must Fill Out a Talent Release FormNo
All workshops are from 9am-3pm Ages 7-12

Campers please bring bag lunch - GNAT provides healthy snacks
Camp Description and Selection (You may select more than one):

Monday, February 17th - Animation Camp - Campers will spend the day at GNAT studio learning iPad Stop Motion Animation. They will learn how to create and write a story, build a set, craft characters, film the action, and create voice overs.Wednesday, February 19th - How To Start Your Own Podcast - Kids learn the steps necessary for creating a successful podcast. From choosing podcast themes, titles, equipment and hosting platforms, to technical operation, audio editing and getting their podcast out into the world, kids will learn the ABCs of basic podcasting. $60Thursday, February 20th - How To Make Your Own TV Show - For kids who would like to learn all of the steps involved in producing their own original television shows or series. They will learn to brainstorm ideas, formats and titles, how to write a script, how to operate studio and control room equipment, basic editing and creating show openings and credits. $60.Friday, February 21 - Green Screen Television - Kids learn the technical setup and lighting requirements for green screen video production. They will learn to prepare the set, operate the studio (cameras, control room, sound board), learn to choose copyright/royalty free images or videos for backgrounds as well as plan and practice the videos they wish to film. $60.DISCOUNT - Sign up for all 5 camps - Feb. 17th through 21st - $250. for the week
Type a question
Payment Information
Method of payment:*

Check - Please mail payment to PO BOX 2168, Manchester Center, VT 05255Cash - Come see us!PayPal/Credit
Your payment will be processed online!

My Products

Kids Kitchen Cooking Show Camp - Tuesday, February 18th $60.00

How To Start Your Own Podcast - Wednesday, February 19th $60.00

How To Make Your Own TV Show - Thursday, February 20th $60.00

Green Screen Television - Friday, February 21 $60.00

Total $0.00

Payment Method
Credit	Express
Credit	What is PayPal?

Credit Card
First Name	Last Name
Credit Card Number	Security Code
Expiration Month	Expiration Year
Billing Address
Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Signature
Electronic signature, please initials:*
First Name, Last Name:*
I acknowledge that my initials typed here on this form are as legally binding as my printed signature, and, further, that I am the parent and/or legal guardian of the "listed camper" and over the age of 18. I also attest to the accuracy of all information entered on this form and authorize qualified personnel to apply general medical teatment to the "listed camper." In addition, I agree that the "listed camper" will only be released from camp into the authority of the guardian listed on this form. I, further, certify that the "listed camper" has my permission to attend this camp and participate in all camp activites.
Should be Empty:

2020 Cabin Fever Camp Registration

Camper Info:

Parent or Legal Guardian Info:

Email:

Health Information:

Camper Other Information:

All workshops are from 9am-3pm Ages 7-12

Payment Information

Your payment will be processed online!

Signature