Please fill out completely.
 

Name of Student *
Name of Student
Session(s): *
Name of Parent or Guardian *
Name of Parent or Guardian
Home Phone *
Home Phone
Alternate Phone
Alternate Phone
Address *
Address
Emergency Contact Name / Relationship to Student *
Emergency Contact Name / Relationship to Student
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