Film Appreciation Academy

Name *

Age *

Grade

Date of Birth *

Address *

City *

State *

ZIP *

Email Address *

Parent/Guardian Email

Phone Number *

School

Why are you interested in taking this course? *

What would you want to get out of it? *

What are some of your favorite movies? *

What days are your best in terms of availability? *

Monday 4-5pm

Tuesday 4-5pm

Wednesday 4-5pm

Thursday 4-5pm

Friday 4-5pm

Saturday 1-2pm

How much is 2+3? *

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