You must have JavaScript enabled to use this form. Current Page 2 Complete Name Date Course/Organization Email Address Phone Reason for Shoot - Select -ClassPublicationBroadcast (Check One) If this will be Published OR Broadcast, please name media outlet Type of Shoot - Select -AudioVideoPhotography Do you have the on-campus location permit form completed? - Select -YesNo Location Requested Description of Shoot Date Requested Time Requested Crew/Participants Student Signature Date *Emerson College Fitness Center staff reserves the right to stop the shoot in the event of a safety issue. Leave this field blank