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Film Kids Fall 2019 Club Sign-Up
Please complete all parts of this form to sign your child up for our after school club. If you choose to pay with Paypal, pay to

Thank you,
Brian Cox, Film Kids, 512-567-0778
Filmmaker's Name *
Your answer
Parent's Name(s) *
Your answer
Parent's Phone Number(s) *
Your answer
Parent's Email Address(es) *
Your answer
Campus (If full, please do not use PayPal) *
Filmmaker's Teacher & Grade *
Your answer
Other adults who might pick up filmmaker:
Your answer
Filmmaker's Allergies, if applicable
Your answer
Payment Method *
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