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Please fill out completely.
 

Student's Name *
Student's Name
Gender *
Session(s): *
Name of Parent or Guardian *
Name of Parent or Guardian
Primary Phone
Primary Phone
Alternate Phone *
Alternate Phone
Home Address *
Home Address
Emergency Contact Name *
Emergency Contact Name
TUITION / PAYMENT *
Name as it appears on card
Name as it appears on card
Expiration Date
Expiration Date

Please post checks or money orders, made payable to California Film Institute, to:
SummerFilm 2017
CFI Education
1001 Lootens Place, Suite 220
San Rafael, CA   94901

If you need assistance, or would like more information:
Please call 415.383.5256, ext. 113, or email: education@cafilm.org