2014 CAP / William S. Hart Park Youth Silent Filmmaking Program Participant Application

The CAP/William S. Hart Park Silent Filmmaking Workshop is a free seven week program for youth (ages 10-17) where they will learn theater and acting from teachers at the Canyon Theater Guild and filmmaking from instructors of the CalArts Community Arts Partnership (CAP). The program will take place at William S. Hart Park & Museum located at 24151 Newhall Avenue, Newhall, CA 91321 on October 4, 11, 18 & 25 and November 1, 8, & 15th from 1:00pm - 5:00pm everyday, except October 18, 2014 where class will take place from 10am-4pm for a location-based film shoot at Castaic Lake. A special culmination screening for students in the program will take place on Saturday, December 13, 2014 at CalArts located at 24700 McBean Parkway, Valencia, CA 91355.

To apply to participate in this program, please complete the application below. Applications must be received by Friday, September 19, 2014 at 11:59pm to be eligible for participation. Applicants will be notified of their their acceptance into the program by Friday, September 26, 2014 at 5pm.

1.

Student Statement

Students, in the space below, please write about what you would like to learn or why you are excited to participate in this program. If there are more than 35 applicants, CalArts CAP will use these statements to select the participants based on the applicants' level of interest. Answers may be in English or Spanish.

*This question is required.

2. Student Information

First Name *This question is required.

Last Name *This question is required.

Street Address

Apt/Suite/Office

City

State

Zip

Email Address

Phone Number

Mobile Phone

Gender

Age *This question is required.

Current School

Current Grade Level

3. Parent/Guardian Information

First Name

Last Name

Title

Street Address

Apt/Suite/Office

City

State

Zip

Email Address

Phone Number

Mobile Phone

I hereby certify that I am the

I also certify: (check all that apply) *This question is required.

That this application is made with my full consent
That I give my permission for my child to participate in CAP/William S. Hart Park Silent Filmmaking Program on October 4, 11, 18, & 25 and November 1, 8, & 15, 2014.

Parent/Guardian Signature *This question is required.

Clear

Signature of

Student Signature *This question is required.

Clear

Signature of

4. Emergency Contact Information for Participant

Name of Emergency Contact *This question is required.

Relation

Title

Street Address

Apt/Suite/Office

City

State

Zip

Email Address

Phone Number

Mobile Phone *This question is required.

Application Deadline: September 19th, 2014 ( Applications MUST be received by this date) For further information about this program, please contact the CAP Program at (661) 222-2708.