*Only the Producer should submit this form after confering with each department.*
*Must submit no later than 5 BUSINESS DAYS prior to requested pickup date.
(weekends do not count as business days)*
NAMEEMAILFACULTY NAME
ORIGINAL TITLECURRENT TITLE
PICKUP DATEPICKUP TIMERETURN DATERETURN TIME
ATTACH HEALTH AND SAFETY FORM (If Completed)ATTACH FILMING ON CAMPUS FORM (If Applicable)
CREW MEMBERS
ROLENAME & STUDENT #ROLENAME
DOP: Gaffer:
1st AC: LOC Sound:
QTYCAMERA/POWER
QTYLENSQTYLENS
QTYTRIPODQTYTRIPOD
QTYMATTE BOX/FOLLOW FOCUSQTYMATTE BOX/FOLLOW FOCUS
QTYSTABILIZER/SLIDERQTYSTABILIZER/SLIDER
QTYMONITOR
QTYFILTERS
QTYCHARTSQTYCHARTS
QTYCAMERA MISCQTYCAMERA MISC
QTYGRIP CAGE PACKAGEQTYLOCKERS
QTYLIGHTSQTYLIGHTS
QTYLIGHT METER
QTYELECTRICALQTYELECTRICAL
QTY*EXTRA* FLAGS/NETS/SILKSQTY*EXTRA* FLAGS/NETS/SILKS
QTY*EXTRA* GRIP STANDSQTY*EXTRA* GRIP STANDS
QTYGEL KITSQTYGEL KITS
QTYCLAMPSQTYCLAMPS
QTYMISCQTYMISC
QTYFIELD RECORDER/MIXERQTYFIELD RECORDER/MIXER
QTYPOWER
QTYDIRECTIONAL 'BOOM' MICROPHONES
QTYLAVALIERSQTYLAVALIERS
QTYBOOM POLESQTYBOOM POLES
QTYOTHER MICROPHONESQTYOTHER MICROPHONES
QTYTIMECODE KITS
QTYMONITORINGQTYMONITORING
QTYCABLES/ADAPTERSQTYCABLES/ADAPTERS
QTYMISCQTYMISC
COMMENTS/QUESTIONS?