Summer 2019 Course Registration Waitlist
Welcome to the Lab!

Please complete this form to add your name to the wait list.

Should a space become available in the class you list below, the Registrar's Office will contact you.

Scholarships require a separate form.
For scholarship information, visit: https://burnsfilmcenter.org/scholarship-information/

Pricing and Payment:
JBFC members at the Film Family Level or higher receive a 10% discount on tuition, if the student is on record or within the household of membership.

A $20 registration fee is charged per student per course.
This fee is waived for all JBFC members. (Student must be member on record) .

Step 1 of 5.

Student First Name *
Your answer
Student Last Name *
Your answer
Student's Date of Birth *
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/
DD
/
YYYY
School Name *
Your answer
CURRENT Grade Level *
Your answer
Parent/Guardian First & Last Name 1 *
Your answer
Parent/Guardian First and Last Name 2
Your answer
Address *
Your answer
City, State and Zip *
Your answer
Primary Phone *
Your answer
Additional Phone
Your answer
Primary Email *
Your answer
Additional Email
Your answer
Desired Course Name and Date *
Required
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