2024 NeXt Doc Fellows Registration Form

Name *

Please enter your legal name as written on your state ID or Passport. This will be helpful to us when booking your travel.

First Name

Last Name

Date of Birth *

MM

DD

YYYY

Phone *

Please provide a phone number that we can reach you at to coordinate pick-ups upon your arrival in Albany

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Seat Preference *

Aisle

Window

Do you plan to bring any projects to share in our group critique/feedback sessions? *

Although this is optional, there will be two program blocks set aside for fellows to screen work. Each fellow will have a total of 30 minutes for screening & feedback.

Yes

No

If YES, please check the appropriate box regarding the stage of your project:

Documentary Film Pitch

Work-in-progress/Scene Selects

Rough Cut

Final Film

What is your preferred T-shirt size? *

S (small)

M (medium)

L (large)

XL (extra large)

2XL (extra large x2)

ACKNOWLEDGMENT of COVID-19 Waiver of Liability *

I have thoroughly read and agree to the following Waiver of Liability outlined above.

I do not wish to acknowledge the above statement at this time

Emergency Name *

First Name

Last Name

Emergency Phone *

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