mo're than yearbooks workshop series registration form 2015
DESCRIPTION
School registration form for the 2015 MO're than Yearbooks Journalism series. Yearbook, Lit mag, Newspaper and Broadcasting students and Advisers are welcome.TRANSCRIPT
>SCHOOL INFORMATION: Please print neatly.
_______________________________________________________School Name
_______________________________________________________School Address
_______________________________________________________City / State / Zip
_______________________________________________________School Phone
_______________________________________________________Adviser #1 Attending YES NO
_______________________________________________________Cell Phone of at least one adviser
_______________________________________________________Email of at least one adviser
_______________________________________________________Adviser #2 Attending YES NO
PLEASE SIGN:
_______________________________________________________Signature of Adviser
_________________________________________________ - 2015Date
No# AttendeesWEEKLYSERIESApril 14 THEME ________ @ $10 = $___________
April 21 PHOTO/PHOTOSHOP ________ @ $10 = $___________
April 28 PAGE DESIGN ________ @ $10 = $___________
May 5 ADVISER (No Students) ________ @ $10 = $___________ No# of discounts5 + Students per event - Adviser FREE ________ @ $10 = $ -- _________
No# AttendeesONE DAYEXPRESSJune 18 ONE DAYEXPRESS ________ @ $50 = $___________ No# of discounts5 + Students per event - Adviser FREE ________ @ $50 = $ -- _________No# Attendees per cycle
ADVISER
DESIGN YEARBOOK
DESIGN NEWSPAPER
DESIGN LIT MAG
PHOTO & PHOTOSHOP
COPY & CAPTIONS
BROADCASTING
SCHOOL CHECK NO. ________________ TOTAL $ _____________
CPDU Credit desired
STUDENTS FORMS NEEDSOnce the School form is received the Adviser will be e-mailed a link with the student form that needs to be signed by a parent or guardian and e-mailed back to [email protected] prior to attending first event. One form is good for all events in the 2015-2016 school year.
Please photocopy this form for your records.
Turn this form with payment.
all advisers must complete one school form.
Emergency Authorization: In consideration of the benefits to be derived and having full confidence that every precaution will be taken to ensure the safety and well-being of my son/daughter or myself during this activity, I hereby agree to his/her/my participation in the MO’re Yearbooks, to be held at Lake Forest Academy High School, Lake Forest, Illinois and Vernon Hills High School, Vernon Hills, Illinois. I furthermore authorize the staff of the camp to seek any medical help and hospital attention for me (in the case of attending adviser) or my minor child (campers). I will not hold Lake Forest Academy, Lake Vernon Hills High School, Herff Jones Inc., MO’re Yearbooks, Maureen Olofsson, Jamie Silver, Joelle Sexton, Ann Urbaniec, Dan Eichmeier, Betty Samples, Karl Boettcher, VIP Photography, Tom Neiman, NFHS Broadcasting or any member of the staff responsible for any accidents or personal injury or theft or damage to personal property for any reason whatsoever. Limited space is available, full refunds for the June 18th event may only be obtained prior to May 15, 2015. A 50% refund may be obtained before June 1, 2015. No refunds will be given after June 10, 2015. I give MO’re Yearbooks permission to publish in print, electronic, or video images of my child (or myself) or use audio recordings of my child (or myself). I release all claims against MO’re Yearbooks with respect to copyright ownership and publication including any claim for compensation related to use of the materials. Images, video and audio recordings of my child (or myself) taken or recorded on the date(s) indicated on this form by MO’re Yearbooks and their staff can be used in print, broadcasting and other forms of advertising; brochures, newsletters and other camp promotion publications; on websites; in audiovisual presentations; and in other activities to promote the camp and inform the public about the camp. These photos, video or other images or recordings may be used by the camp without payment of fees, royalties or other remuneration. Students will not be identified by school or by name in any publication or online.
MAUREEN OLOFSSON - CAMP [email protected]
Mail to: Maureen OlofssonMO’re than JOURNALISM3s154 Park Blvd. Glen Ellyn, Illinois 60137
Please submit one check per school made payable to:MO’re Yearbooks
Space is limited, Full refunds for the June 18th event may only be obtained prior to May 15 2015. A 50% refund may be obtained before June 1, 2015. No refunds will be given after June 10, 2015.
SCHOOL REGISTRATION FORM
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