Zone Academy of Media Arts

Pick a Summer Camp:

Your Name:

Address:

City, State, Zip

Phone:

Email:

Gender: Male Female Please select your gender

Grade (in School):

School you attend:

Parent Name:

Address:

City, State, Zip

Parent Phone:

Parent Email:

Emergency Contact (Name/Phone):

Please answer the following questions:

Do you regularly attend church? Yes No

If yes, where do you attend?

How long have you attended?

What is your pastor's name?

What is your church's phone number?

Why are you interested in the 2008 ZAMA Digital Filmmaker Camp?

Major school activities or interests:

Church involvement (list and explain):

Please check the boxes that accurately describe you:
Creative Writer
Dramatic
Internet Saavy
Deep Thinker
Artistic
Public Speaker
Knows Technology
Team Player
Singer
Innovative
Knows Computers Well
Servant
Musician
Imaginative
Trouble-shooter
Leader
Please select at least 1 box that describes you.

Describe your creative talents (List specifics that show the scope of your interests and skills):

Describe your spiritual journey. How has your faith shaped your life up to now?