SixTwelve Camp Enrollment Form

Student Name *
Student Name
Please enter the name of the camp you are enrolling your child in. Thank you!
Birth Date *
Birth Date
Primary Address *
Primary Address
Secondary Address (if applicable)
Secondary Address (if applicable)
Parent Name *
Parent Name
Parent Phone *
Parent Phone
Second Guardian Name
Second Guardian Name
Second Guardian Phone
Second Guardian Phone
Allowed to pick up student? *
Emergency Contact *
Emergency Contact
Emergency Contact Phone *
Emergency Contact Phone
Do we have permission to call 911 in case of an emergency? *
Social Media/Website Photography Release *
Do we have permission to photograph your child and share images online either on social media or our websiste for the purposes of documentation of programming and advertising?
Today's Date *
Today's Date
Please ask your camper to choose their favorite of the following film topics. We will take the most popular choice of all campers and that will be our theme! Sci-Fi/Fantasy Super Hero Mystery Rom Com (Romantic Comedy)
Please ask your camper to rank the following in the order of their preference for jobs during film camp. We will try to assign the role that they want, but can not guarantee that everyone will get the job of their choice. 1. Actors/Actresses 2. Videographers/Editors 3. Set Design/Build 4. Wardrobe/Credits