This is a simple form to collect participant information for a special Disquiet Junto project. We'll be collectively scoring a public domain film (which one has yet to be determined). This project will be distinct from the weekly Disquiet Junto projects. (If you're new to the Disquiet Junto music community, which has been running weekly since January 2012, there's more information at disquiet.com/junto.)

When the project begins, each participant will be assigned a unique segment of the film to be scored. Everyone will get one section. They'll have roughly a month to complete the track. Those will then be stitched together, and uploaded to YouTube as a single, continuous audio-visual work.

Please fill out the following very short questionnaire. Your contact information will not be shared with anyone except one or two other people helping to coordinate the project. If you have any questions, send them to Marc Weidenbaum (disquiet@gmail.com).