First Name:*
Last Name:*
Age:*
Support "10 Seconds To Change!"* Please add my name to the Petition Drive to have the President declare August "National Kid's Month!"
Phone:*
Your Email:*
Facebook Address:*
Tell us what you think of our Organization:*
Tell us why you want to be in our Music Video:*
Why do you think you would be a good addition to our cast?*
Share a Link to Your Reel:*
Upload Your Photograph:
Email:*
Production Crew Position:* Assistant DirectorAssistant ProducerCameraCatering/Craft ServicesDPGafferGripHair/Make-UpLocation ScoutPAPost-Production EditorPublicitySoundSocial MediaWardrobe/Props/Set
URL for Reel:
Tell us what you think of our Organization & Why you want to work on our Music Video:*
Upload your photograph:
Confirm Email Address:*
Cell Phone:*
School/Company/Organization:*
City/State/Country:*
Position(Student/Title):
Areas of Interest:*
Please share your thoughts on our Org, and why (& how) you might want to get involved!*
Upload Your Photo:
Submission Agreement:* By submitting your information you hereby give "16 Things Kids Can Do" the right to display your name, image & testimonial and add your Name to our Presidential Petition Drive. Thank You! (Your email & phone shall not be disclosed.)
Referral Contact's First Name:*
Referral Contact's Last Name:*
Why Did You Refer This Person To 16 Things Kids Can Do?*
Contact's Email Address:*
Contact's Phone Number:*
Referral Contact's First Name:
Referral Contact's Last Name:
Why Did You Refer This Person To 16 Things Kids Can Do?
Contact's Email Address:
Contact's Phone Number:
