Name*:
Age*:
Phone*:
Address*:
Email Address*:

Do you have any experience or training in media or video production?

Do you own your own video equipment? If so, what kind?

What aspect of video production are you most interested in? (Check all that apply)
CameraEditingDirecting/ProducingOn Camera (Talent)All of the aboveI have no idea yet

Do you have any ideas for a WCAT program(s)?