Adrien Husson Ucla
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STUDENT FILM/VIDEO/STILL PHOTOGRAPHY
UCLA CAMPUS LOCATION CONFIRMATION Student: Adrien Husson Ph #: 310-592-8721 ID#: 403751072 Ph #: 562-304-6326 Class: FTV 400/151 Instructor: Belinda Starkie Felt like a day Name of film: _________________________________________________________________________ Time: 10am-5pm Date of Shoot: 01/31/2009 Total Hours: 7 Number of Cast / Crew: 6 people Location (specific): Dashew Center for International Students ____________________________________________________________________________________ Synopsis of Shoot:
A man spends a typical day at work.
____________________________________________________________________________________ List All Production Equipment and Vehicles: HPX Camera, lighting equipment,
2 cars. Check all applicable: Weapons: FX:
(description)
(description)
Stunts:
(description)
Picture Vehicles:
Facility requirements:
moving / stationary (type)
Staff: Other: Estimated costs
$
Location and Payment approved by: FACILITY MANAGER SIGNATURE
DATE
PRINTED NAME
CAMPUS ADDRESS
EXTENSION
CAMPUS EMAIL
Student Location Confirmation
rev. 11/3/06
UCLA CAMPUS LOCATION CONFIRMATION Student: Adrien Husson Ph #: 310-592-8721 ID#: 403751072 Ph #: 562-304-6326 Class: FTV 400/151 Instructor: Belinda Starkie Felt like a day Name of film: _________________________________________________________________________ Time: 10am-5pm Date of Shoot: 01/31/2009 Total Hours: 7 Number of Cast / Crew: 6 people Location (specific): Dashew Center for International Students ____________________________________________________________________________________ Synopsis of Shoot:
A man spends a typical day at work.
____________________________________________________________________________________ List All Production Equipment and Vehicles: HPX Camera, lighting equipment,
2 cars. Check all applicable: Weapons: FX:
(description)
(description)
Stunts:
(description)
Picture Vehicles:
Facility requirements:
moving / stationary (type)
Staff: Other: Estimated costs
$
Location and Payment approved by: FACILITY MANAGER SIGNATURE
DATE
PRINTED NAME
CAMPUS ADDRESS
EXTENSION
CAMPUS EMAIL
Student Location Confirmation
rev. 11/3/06
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