Hollywood Huntsville Film Lab Registration
Date of first class attending *
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Student First Name *
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Student Last Name *
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Minor's Only: Guardian Name (first and last)
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Birthday
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Gender *
Address Line 1 *
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Address Line 2
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City *
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State *
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ZIP Code *
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Student Phone Number (type NA if a minor with no phone) *
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Minors Only: Guardian Phone Number
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Additional Contact phone (please specify)
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Student email (type NA if minor with no email) *
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Minors Only: Guardian Email
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Confirm Primary email address
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Additional contact email (please specify)
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Emergency Contact name *
(minors: different from guardian)
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Emergency Contact Phone *
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How did you hear about us?
Do you have any medical conditions we need to be aware of/accommodate?
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By registering, I consent to be/have my child photographed/videoed for promotional materials (including social media). You further agree to relieve Hollywood Huntsville from any liability for injury to you or your child resulting from and/or in connection with the activities related to this program. *
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Coupon Code:
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Digital Signature *
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