Kauai Film Academy Sign Up
Parent First Name *
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Parent Last Name *
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Parent Email *
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Parent Phone Number *
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Relationship *
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Student First Name *
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Student Last Name *
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Student Email
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Student Phone
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Student Age *
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Street Address *
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City *
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State *
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Zip Code *
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What school are you currently attending? *
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What Film making experience do you have? (ex. Media Class, Youtube Channel with videos, made films with friends, etc...) *
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Does your child have Health Insurance? *
Company/Policy# *
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Does your child have any medical conditions? If Yes, please describe: *
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