Student's Name *

First Name

Last Name

Gender *

Male

Female

Other

Session: *

Behind the Scenes: July 22-26 – $500

Name of Parent or Guardian *

First Name

Last Name

Primary Phone *

(###)

###

####

Alternate Phone

(###)

###

####

Home Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Emergency Contact Name *

First Name

Last Name

TUITION / PAYMENT *

Credit Card

Check or Money Order via post

Requesting a need-based full or partial scholarship (please send message explaining your situation to education@cafilm.org)

Name as it appears on card

First Name

Last Name

Expiration Date

MM

DD

YYYY