Eastside Youth Content Creators Program at Alamo City Studios Online Registration

Registration

Welcome to Eastside Youth Content Creators Program Application Form (EYCCP @ACS), a new media arts program. This six-week program is designed to take high school students from the earliest stages of content creation to the completion of their own video projects. EYCCP at ACS will run September 12th-October 22nd with a media showcase. Classes are Mondays through Thursdays from 5-7 PM and Saturdays from 10 AM-2 PM. FREE Transportation provided to and from Sam Houston HS.

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Family Information

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Contact #2

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Student #1

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Please tell us why you're interested in participating in this program. *

Student #2 (Show-Hide Details)

Student's First Name*

Last Name*

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Disabilities (Leave blank if NONE)

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Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

Immunizations YN*

List your areas of interest (Acting, Writing, Directing, Editing)*

Please tell us why you're interested in participating in this program. *

Student #3 (Show-Hide Details)

Student's First Name*

Last Name*

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Student Email*

T-Shirt Size*

School*

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Disabilities (Leave blank if NONE)

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

Immunizations YN*

List your areas of interest (Acting, Writing, Directing, Editing)*

Please tell us why you're interested in participating in this program. *

Student #4 (Show-Hide Details)

Student's First Name*

Last Name*

Birth Date* (format=mm/dd/yyyy)

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Student Email*

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School*

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Disabilities (Leave blank if NONE)

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

Immunizations YN*

List your areas of interest (Acting, Writing, Directing, Editing)*

Please tell us why you're interested in participating in this program. *

Student #5 (Show-Hide Details)

Student's First Name*

Last Name*

Birth Date* (format=mm/dd/yyyy)

Cell #*

Additional Info

Student Email*

T-Shirt Size*

School*

Grade Level*

Disabilities (Leave blank if NONE)

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

Immunizations YN*

List your areas of interest (Acting, Writing, Directing, Editing)*

Please tell us why you're interested in participating in this program. *

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Registration

Family Information

Where do you live?

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Student #1

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