Youth Film Academy | Lens of Hope Foundation Inc.

Name

Last name

Your email*

Age

Grade Level

Parent/Guardian Information

Please tell us why you are interested in joining this short film project (2-3 sentences):

Do you have any prior experience or interest in filmmaking or storytelling? (e.g., writing, acting, using a camera):

Are you available to participate in the program from [Start Date] to [End Date]? (Yes/No) If no, please specify any dates you are unavailable:

Emergency Contact Information: Name: Relationship to Participant: Phone Number:

Empowering mental health through creative expression.

Support

Inspire

contact@lensofhopefoundation.org

850.333.6966

Your Email Address