Youth Registration Form

Youth Summer Retreat Camp Pre-Registration Form 

One time nonrefundable registration fee: $35. 

Payment methods, Venmo or Cashapp: JadeFilmsCo

THE ESSAY IS OPTIONAL. HOWEVER IF YOUR CHILD IS APPLYING FOR PARTIAL SCHOLARSHIP, THEY WILL NEED TO WRITE AND SUBMIT THE ESSAY. OTHERWISE, THEY CAN SKIP THIS SECTION AND PAY THE FULL SUBMISSION FEE.

Please select one of the following question and write a 500 word essay:

1) Why do you think we need more deaf actors on the screen?

2) Who are you and who is your role model?

3) Cell phones have gone from a sought-after luxury to a daily necessity. While these devices provide convenient access to the outside world, they can be problematic for your school teachers. Should cell phone usage be controlled in the classrooms? 

4) If there was a school shooting at your school, what would you do? 

5)  Tell me about why you want to learn about the tv and film industry. What is your dream job in the tv and film industry?

6)  Who is your favorite actor, director or producer? What about their life story or career story inspires you and why?


YOU MUST REGISTER WITH A $35 PAYMENT TO PROCESS YOUR APPLICATION. OTHERWISE, THEY WILL BE DELETED! EMAIL US IF YOU HAVE QUESTIONS.


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Email *
Child Name *
Home address  *
City, State & Zip code *
Home phone # (Phone/Text/Videophone/Other) *
Birth date *
Sex *
Required
Pronouns *
Required
Age *
Parents/Guardian's Name *
Emergency contact  *
Relationship to Child *
Email *

If your child have medical/special needs, please list details below:

 *

Any other special needs, requirement or directions that would be helpful for the retreat camp leaders to know about?If your child have medical/special needs, please list details below:

 *

Please indicate which is most accurate ethnic background.

 *

Please check off the programs you’re interested in:

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Required

Please check off the recreation activities you’re interested in:

 *
Required
Camp start date *

Lab fee $650 per youth (Age: 14-18) 

Limited partial scholarship will be available for those who qualify with the submitted essay. 

The lab fee includes lodging, breakfast, lunch, and dinner. This does not include travel to Atlanta. We offer day retreat if you prefer to pick up your child. The fee is $600. Please email us for more information.

Registration fee: $35 (non-refundable)

Final payment by May 30, 2024 

Payment Option 1: Venmo: JadeFilmsCo 

Payment Option 2: Cashapp: JadeFilmsCo

A pre-registration form is not considered complete until all sections are filled out including emergency contact information, demographic information, media release signature and health considerations/food allergy sections.

Deaf Talent Creative Lab® will be documenting the summer retreat summer through video and audio recordings and photography. By signing below, I authorize Deaf Talent Creative Lab® to use photos, video and audio footage obtained from the retreat camp which may include my child.

I have read and agree to the above policies and I am responsible for registration fee. ______________________________________________ 

Parent/Guardian Signature                          Date

Please submit your pre-registration form to DeafTalentLab@Gmail.com. 

Please feel fee to email us if you have any questions or concerns. Thank you for filling out the form!

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