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FEBRUARY 18-22
10:00am – 5:00pm

Smith Rafael Film Center
1112 Fourth Street, San Rafael
and
Community Media Center of Marin
819 A Street, San Rafael

Please fill out form completely: 

Name of Student *
Name of Student
Have you participated in CFI Education programs before? *
Parent or Guardian *
Parent or Guardian
Home Address *
Home Address
Primary Phone *
Primary Phone
Alternate Phone
Alternate Phone
Do you have any allergies or dietary restrictions? *
I understand that my application for the My Place | My Story program requires that: *

For questions, please email education@cafilm.org