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REGISTRATION

Student's Name *
Student's Name
Gender *
Session: *
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 2019
CFI Education
1001 Lootens Place, Suite 220
San Rafael, CA   94901

Your credit card will be charged on May 15.

Cancellation Policy:
After May 15 – before June 15: 50% Refund
After June 15: No Refund

If you need assistance, or would like more information:
Contact us at education@cafilm.org