Primary contact phone number (please specify to whom this number belongs) *
Your answer
Additional Contact phone number (please specify to whom this number belongs)
Your answer
Actor or Filmmaker? *
Filmmakers only: does the participant have interest in a specific aspect of film making? (If so, please specify) [ie. camera, sound, production design, wardrobe, makeup, etc.]
Your answer
Emergency Contact name (other than guardian) *
Your answer
Emergency contact phone number *
Your answer
Do you have any medical conditions we need to be aware of? (ie. food allergies. A daily snack will be served)
Your answer
By registering, I consent to be/have my child photographed/videoed for promotional materials (including social media). You further agree to relieve Hollywood Huntsville from any liability for injury to you or your child resulting from and/or in connection with the activities related to this program. (please initial) *