Please complete this form to make a request to take photos, film or videotape at Naper Settlement. Leave areas blank that are unknown at this time.

Planning Details

Requestor's name:*

Contact person (if different):

Organization / company:*

Address:*

Phone:*

Alternate phone:

Fax:

Email:*

How did you learn about Naper Settlement?*

Program Information

Dates, Times & Locations

Description of shoot:*

Days required:

Preferred dates:

Alternate dates:

Preferred times:

Anticipated start and end times:

Total number of hours on site:

Additional hours needed (if any):

Locations:

Set-up needed:

Number in production crew (including actors):

Special / unusual needs:

Marketing staff member needed:

No Yes Unsure at this time

Staging area required:

No Yes Unsure at this time

Food

Food to be brought in:

No Yes Unsure at this time

Food to be provided by:

Caterer Production crew

Caterer name:

Caterer phone:

Fees

Fees to be paid:

$1,000 minimum Fee waived Other quoted amount

Name of person who provided a quoted amount or waived the fee (if applicable):

Please provide the quoted amount (if applicable):

Insurance

Proof of insurance is required and must be provided at least five working days prior to the film date. If proof of insurance is not provided by this date, Naper Settlement may cancel the project. Insurance may be submitted by emailing Naper Settlement.

Project Summary

A written project creative brief, summary, script and/or storyboard is required and must be provided at least two weeks prior to the film date. If this information is not provided by the due date, Naper Settlement may cancel the project. Information can be submitted by emailing Naper Settlement.

Additional Information

Please provide any other information pertinent to your request: