Beacon Initiative Participant Survey Name * First Name Last Name Email * Phone (###) ### #### Instagram Handle(s) Include handles you want to be tagged on social media. Which of the following roles do you have experience in? * We will curate teams based on experience. You are required to bring and use your own equipment for any of the following roles. Photography Videography Hair Styling Makeup Artist Nail Art Modeling Creative Direction Art Direction Prop Styling Set Design Lighting Assist Other None Other Please explain Which of the following roles do you have interest in? * We will assign you to new roles when space allows. You are required to bring and use your own equipment for any of the following roles. Photography Videography Hair Styling Makeup Artist Nail Art Modeling Creative Direction Art Direction Prop Styling Set Design Lighting Assist Other None Other Please explain List the following you ways you'd like to see your work published * We have plans to publish content in various ways. Please help us to understand your level of interest. Posted online and social media Printed in a book or magazine Printed on sweater or t-shirt Printed on other merchandise Other None Other Please explain Please indicate you understand the following by checking each box below. * 1/7 - I understand I am participating in the Beacon Initiative photoshoot as a creative collective and will not receive payment for my participation. 2/7 - I understand that Beacon Quarterly shares rights to the content that is created by participating in the Beacon Initiative photoshoot collective. 3/7 - I understand that respect and tolerance to all parties is expected of me for the duration of a Beacon Initiative event and that I will remove myself from the event if I am unable to honor this commitment 4/7 - I understand that the Beacon Initiative is intended solely for creative expression and not to be used as a political platform. Content may be political so long as it is relevant to the theme and team members are consenting to its production. 5/7 - I understand I am participating in the Beacon Initiative photoshoot by my own free will. 6/7 - I understand I am required to bring and use my own equipment for any of the roles I have signed up for. 7/7 - I agree that I am at 18 years of age and have the full legal capacity to execute this release. Thank you!