First Name:
Last Name:
Student Email Address:
Parent Email Address:
Street Address:
City:	State Zip
Home phone number:
Parent's phone number:
Grade level: (Participants must currently be in grades 6 to 12)
School currently attending:
How did you hear about the YES?
List the names of your other FILM CREW members:
Film Crew Member #1 First and Last Names:
Film Crew Member #2 First and Last Names:
Film Crew Member #3 First and Last Names:
Film Crew Member #4 First and Last Names:

As the PRODUCER, you are responsible to have each of your FILM CREW members and any other youth ages 18 and under who appear in your film (actors, actresses, extras) to fill out and return the Parental Release Form

Please send them to
Amy Orchard - GREEN TEEN Video Contest
2021 N. Kinney Road
Tucson, AZ 85743

Retrieved from the Arizona-Sonora Desert Museum web site on 11-24-2024
https://desertmuseum.org/yes/register.php