My P.E. KIDS FILM & MEDIA ACADEMY

Student Registration, Parent Consent & Media Release Packet

Presented by My P.E. Productions

A Division of Arena Intellectual Media LLC

STUDENT INFORMATION

First name

Last name

AGE:

Birthday

Month

Day

Year

School:

Tshirt Size:

Favorite Movie/Tv Series:

Favorite Hobby:

Career Interest:

What do you hope to learn during the academy?

Do you have any previous experience with filmmaking, photography, journalism, acting, animation, or video editing?

Parent/Guardian Information

First & Last Name

Relationship with Student

Phone

Address

Preferred Method of Contact

Phone Call

Text

Emergency Contact

Emergency Contact Name

Name:

Relationship

Phone Number

Alternative Phone

Medical Information Please list any allergies, medical conditions, medications, dietary restrictions, or other important information instructors should know while working with your child.

ABOUT THE PROGRAM

The My P.E. Kids Film & Media Academy is a youth development program presented by My P.E. Productions, a creative media company operating under Arena Intellectual Media LLC.

The academy introduces students to filmmaking, journalism, photography, digital storytelling, animation, creative writing, interviewing, public speaking, and media production through hands-on learning experiences.

Throughout the program, students will participate in classroom instruction, production exercises, interviews, creative assignments, and collaborative projects designed to strengthen communication skills, confidence, leadership, teamwork, and artistic expression.

I give permission for my child to participate in all scheduled activities associated with the My P.E. Kids Film & Media Academy. I understand that participation includes classroom instruction, production exercises, photography, filming, interview.

I understand that the My P.E. Kids Film & Media Academy is hosted in partnership with the Martin Luther King Jr. Recreation Center. I grant permission for My P.E. Productions, a division of Arena Intellectual Media LLC, and the Martin Luther King Jr. Recreation Center to use photographs, video recordings, audio recordings, and student-produced media captured during academy activities for educational, promotional, historical, community outreach, program reporting, grant applications, websites, social media, newsletters, presentations, and other non-commercial purposes related to their missions.

Partner Organization Media Authorization

The My P.E. Kids Film & Media Academy is presented by My P.E. Productions, a division of Arena Intellectual Media LLC, in partnership with the Martin Luther King Jr. Recreation Center.

I understand that photographs, video recordings, interviews, and student projects created during the academy may be shared with the Martin Luther King Jr. Recreation Center for the purpose of highlighting youth achievements, promoting community programming, documenting academy activities, and supporting educational and community initiatives.

I understand that all student media will be used in a respectful and professional manner consistent with the educational mission of both organizations.

PARENT/ GUARDIAN Signature

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Photography & Media Release

I understand that photography, video recordings, and audio recordings will be captured throughout the academy. I grant permission for My P.E. Productions, operating under Arena Intellectual Media LLC, to use photographs, video footage, audio recordings, interviews, student projects, and other media featuring my child for educational, promotional, documentary, marketing, fundraising, grant applications, websites, social media, printed publications, presentations, and future academy materials.

I understand that these materials may be edited for quality and presentation purposes and may be used without additional compensation.

PARENT/ GUARDIAN SIGNATURE

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STUDENT PRODUCTIONS

I understand that my child may participate in student-produced films, documentaries, news reports, interviews, animated projects, photography exhibitions, promotional videos, commercials, and the Black in 828 community storytelling initiative. These projects are educational in nature and are designed to help students build confidence while developing a professional portfolio.

Fictional Film Project Notice – Who Done It? The 828 Mystery

As part of the My P.E. Kids Film & Media Academy curriculum, students will participate in a fun, age-appropriate fictional mystery film project titled Who Done It?

During this educational filmmaking exercise, students will portray original characters in a scripted mystery. As part of their assigned roles, participants may be photographed for fictional "mugshots," interviewed in a mock interrogation room, questioned as witnesses, and portrayed as suspects in a fictional crime investigation. These activities are designed solely for educational and entertainment purposes to teach students the fundamentals of acting, screenwriting, directing, journalism, cinematography, and film production.

No student will be portrayed as having committed an actual crime, and all characters, storylines, and events are entirely fictional. The project is intended to encourage creativity, teamwork, critical thinking, and confidence while providing students with hands-on experience in creating a short film.

I understand the educational purpose of this project and give permission for my child to participate in the Who Done It?production.

Please Note: Students may choose to portray their character as serious, humorous, innocent, suspicious, or mysterious. These performances are part of the storytelling process and do not reflect the student's actual personality or character.

Participation & Code of Conduct

I understand that the academy operates like a real production team. Students depend on one another to complete projects, making regular attendance and timely homework submissions important to the success of the class. I agree to encourage my child to complete assignments, practice scripts, and communicate with instructors if an absence becomes necessary.

I understand that students are expected to demonstrate respect toward instructors, volunteers, guest speakers, business partners, and fellow participants. Students are expected to use academy equipment responsibly, follow safety instructions, contribute positively to group projects, and represent My P.E. Kids with professionalism during academy activities and community events.

Failure to meet these expectations may result in disciplinary action or dismissal from the program if necessary to maintain a safe and productive learning environment.

STUDENT Signature

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PARENT/ GUARDIAN Signature

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Liability Consent

I understand that reasonable precautions will be taken to provide a safe learning environment. I voluntarily allow my child to participate in the My P.E. Kids Film & Media Academy and acknowledge that participation in educational and production activities carries ordinary risks associated with youth programs.

To the fullest extent permitted by law, I release My P.E. Productions, Arena Intellectual Media LLC, My P.E. Kids Film & Media Academy, its instructors, volunteers, partners, sponsors, and host facilities from liability for ordinary risks associated with participation, except where caused by gross negligence or willful misconduct.

PARENT/ GUARDIAN Signature

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PARENT VOLUNTEER INTEREST:

ACADEMY AGREEMENT

By signing below, I acknowledge that I have read and understand this registration packet. I understand the goals and expectations of the My P.E. Kids Film & Media Academy and give permission for my child to participate in the program.

PARENT/GUARDIAN Signature

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Today's Date: July 7, 2026

STUDENT Signature

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Acknowledgment: I understand that this academy is presented by My P.E. Productions, a division of Arena Intellectual Media LLC, in partnership with the Martin Luther King Jr. Recreation Center, and I consent to my child's participation under the terms outlined in this packet and consent.

Today's Date:July 7, 2026

Do you have any questions for us or anything else you'd like us to know?

Miss L

Producer | Writer | Founder

My P.E. Productions

My P.E. Kids Film & Media Academy

📧Kids@MyPEproductions.com

🌐 www.mypeproductions.com

"Empowering youth through media, storytelling, and creativity."

Great stories take work, courage, and collaboration. Check the box if you can you commit to pushing past your comfort zone to see your project through from the first spark of an idea to the final frame on the big screen?