STUDENT REGISTRATION in ink The form below must be filled out completely by the applicant (age 13 18). A parent or guardian is required to fill out the accompanying Media Release/ Emergency Contact Information and Tuition/Transportation forms. PLEASE BE SURE TO FILL OUT ALL RELEVANT SECTIONS. NAME OF STUDENT AGE PARENT OR GUARDIAN STREET ADDRESS CITY/STATE/ZIP HOME PHONE ALTERNATE PHONE (AND NAME) PARENT EMAIL ADDRESS APPLICANT S SCHOOL GRADE FALL 2017 SCHOOL NAME STUDENT REGISTRATION Page 1 of 6
MEDIA RELEASE/EMERGENCY CONTACT INFORMATION MEDIA RELEASE I agree and understand that I waive any and all rights that the participant may have in any film, video or other recording which may be made while the participant is involved in the program. I also agree and understand that I am signing this waiver transferring any and all materials produced to the California Film Institute and the Mill Valley Film Festival as a part of the participant s acceptance in the program. I know and understand the contents of this release. APPLICANT S NAME SIGNATURE OF PARENT OR GUARDIAN NAME OF PARENT OR GUARDIAN EMERGENCY CONTACT INFORMATION Alternate emergency contact /relationship to applicant: Name of Family Doctor: Doctor contact number: Health Insurance with: Medical # Preferred Hospital: Are there any health problems we need to know about? Return all pages of this registration with the signed parent/guardian consent form before June 30, 2016 to: Snail mail: Summerfilm CFI Education California Film Institute 1001 Lootens Place, Suite 220, San Rafael, CA 94901 Email: education@cafilm.org Fax: 415.383.8606 For more information call: 415.383.5256, ext. 113, or email: education@cafilm.org RELEASE/ EMERGENCY INFO Page 2 of 6
PARENT/GUARDIAN TUITION This form must be filled out completely and signed before the accompanying student application will be considered. Behind the Scenes (July 11-15, 10am 5pm) $400 Maximum enrollment is 25. Location: Christopher B. Smith Rafael Film Center, 1118 Fourth Street, San Rafael Young Curators (July 18-20, 10am 5pm) $50 Only 10 places are available for this session. All applicants must be able to attend for all three full days. Location: Christopher B. Smith Rafael Film Center, 1118 Fourth Street, San Rafael Screenwriting (July 18, 10am 5pm) $150 Maximum enrollment is 12, Minimum enrollmet is 10 If class does meet minimum, it will be cancelled two weeks before the beginning date. Location: Christopher B. Smith Rafael Film Center, Mark Fishkin Room 1118 Fourth Street, San Rafael Acting (July 19, 10am 5pm) $150 Maximum enrollment is 12, Minimum enrollmet is 10 If class does meet minimum, it will be cancelled two weeks before the beginning date. Location: Christopher B. Smith Rafael Film Center, Mark Fishkin Room 1118 Fourth Street, San Rafael Animation Filmmaking (Aug.1-5, 10am 4pm) $650 Maximum enrollment is 12, Minimum enrollmet is 10 If class does meet minimum, it will be cancelled two weeks before the beginning date. Age 8-12 Location: CEC Media Lab, 931 C Street, Novato. Lunches not provided, please bring a bag lunch. I am applying for a need-based scholarship/tuition waiver (Please send a letter with your application describing your need.) I am enclosing a Check or Money Order (checks made out to California Film Institute) I am paying by credit card Visa Mastercard American Express NUMBER EXP. DATE Name as it appears on card Cardholder signature TUITION/ TRANSPORTATION Page 3 of 6
TRANSPORTATION PERMISSION SLIP Please INITIAL on the individual lines, do not check. If both apply, please initial both. I will be providing transportation to and from the program for the applicant every day. The applicant has my permission to take public transportation to and from the program every day. For BEHIND THE SCENES only: Applicant has my permission to take a field trip by SPAB rated (rated for school transport) charter bus. PARENT / GUARDIAN SIGNATURE DATE
STUDENT QUESTIONNAIRE/BEHIND THE SCENES BEHIND THE SCENES JULY 11-15, 10AM 5PM Seminars and workshops with film industry professionals (including editors, screenwriters, cinematographers, producers, talent agents, acting coaches, directors, animators, foley artists, sound designers, stunt people, and wardrobe and makeup people), will familiarize students with the art and business of film. A screening of a silent film with live accompaniment will also be included. Held at Smith Rafael Film Center. Tuition: $400. Please bring a bag lunch, drinks will be provided. Field trip to 32TEN included. Why do you think it is important to learn about film and video? How much television do you watch every day (number of hours on average)? What do you watch? Why? Write a review of your favorite movie in a minimum of 15 lines. Write as if you were reviewing the movie for your local newspaper or school paper. (Use an extra sheet for your answer.) How often do you see movies at a theater? (select one) Hardcore I see 2-3 movies a week and eagerly await new releases. Steady I see 1-2 movies a week and watch previews to spot new films Occasional I see a movie once in a while if it really looks good Do you know what a documentary film is? If yes, describe it. Tell us the name of a documentary you have seen and liked and very briefly what it is about. STUDENT QUESTIONNAIRE Page 4 of 6
STUDENT QUESTIONNAIRE/YOUNG CURATORS YOUNG CURATORS JULY 18-20, 10AM 5PM The Young Curators meet for three days to choose the short youth-produced films that will comprise the Youth Reel for the Mill Valley Film Festival. Entries for the reel come from all over the US and internationally. The group reviews about 125 short films, decides which ones will be included in a 90-minute reel and learns how to curate the reel by ordering the film into a cohesive program. To qualify for the Jury, students must have taken the first week of Summerfilm, Behind the Scenes, without exception. Held at Smith Rafael Film Center. Tuition: $50. Lunches are provided. Are you very vocal about your opinions? Can you listen respectfully to other s opinions? You will be defending your choices to other jurors equally committed to their choices. Can you accept those debates as part of the process? You will sit a lot! Can you sit a lot and concentrate? Young Curators receive multiple benefits at the Mill Valley Film Festival, including free tickets. We expect Young Curators to attend (free) the screening of the Youth Reel on the second Saturday of the Mill Valley Film Festival, on October 15th, 2016, time to be determined. Can you commit to that date? You will appear on stage with the Youth Reel filmmakers. STUDENT QUESTIONNAIRE Page 5 of 6
STUDENT QUESTIONNAIRE/ANIMATION FILMMAKING ANIMATION FILMMAKING JULY 25-29, 10AM 5PM Five days of animated film instruction featuring both the use of the internationally lauded Toon Boom software, hand drawing with light boxes, as well as some stop-motion animation. Animation professionals will work with students to create a story and a 1 3 minute film. Students can choose to either work alone or with a team. A DVD of the work completed will be given to each student a week after the workshop. Held at the Intel Computer Clubhouse on 931 C Street in Novato. Tuition $650. Lunches not provided, please bring a bag lunch. Have you worked on any group projects recently in school, on your own or in camp? Have you made your own movie? If yes, how did you do it? What was it about? How long was it? Have you written a script or short story? If yes, tell us about it in 2-3 sentences. Do you like to draw or sculpt? If yes, describe your subject matter and materials. What roles would you prefer to play in the making of an animated film? Circle roles you prefer. Director Actor Camera Sound/Music Script Model-making/Drawing STUDENT QUESTIONNAIRE Page 6 of 6