Media Labs | Film: Fan Film Fest | Feb 5 - 21

Is this your first Spy Hop class? *

Is this your first Spy Hop class? Yes No
Student Name Student Name * First Last
Cell Phone Cell Phone * - ### - ### ####
Email *
Email Updates

Email Updates Receive occasional email updates from Spy Hop about upcoming classes, events, concerts and more. No thanks
Home Address Home Address *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Date of Birth Date of Birth * / MM / DD YYYY
Gender *

Gender Male Female Trans* Prefer not to disclose (Fill in the blank) (Fill in the blank)
Preferred Pronoun

Preferred Pronoun They/Them/Theirs She/Her/Hers He/Him/His
Race/Ethnicity *
Please list all languages spoken at home. *
School *

If you do not attend school, please put NA
Grade
Do you qualify for free or reduced lunch? *

Do you qualify for free or reduced lunch? Yes No Don't Know
Please select the annual income for your family from the list below. *
Do you currently live on your own? *

Do you currently live on your own? Yes No
Do you need any additional support (learning disabilities, physical limitations, struggles in social situations)?

Do you need any additional support (learning disabilities, physical limitations, struggles in social situations)? Yes No
If you selected yes, please describe.
Parent/Guardian Name Parent/Guardian Name First Last
Parent/Guardian Email
Parent/Guardian Cell Phone Parent/Guardian Cell Phone - ### - ### ####
How did you hear about Spy Hop? *
What skills do you hope to learn in the class?
You have reached the end of the application, yay! We look forward to seeing you at Spy Hop.

Media Labs | Film: Fan Film Fest | Feb 5 - 21

Media Labs | Film: Fan Film Fest | Feb 5 - 21

You have reached the end of the application, yay! We look forward to seeing you at Spy Hop.