Pelham Island Pictures Summer Film School 2017
Session Selection *
Please select which session you are interested in enrolling your child in.
Please select your intended method of payment for the Film School tuition.
If you change your mind later, please notify us by email.
Contact Information
Parent's Name *
(First and last)
Your answer
Address *
(Ex. 19 Green Way, Wayland MA 01778)
Your answer
Email Address *
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Cell Phone *
Your answer
Home Phone
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Emergency Contact Information
Emergency Contact Name *
(First and last)
Your answer
Cell Phone *
Your answer
Home Phone
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Child's Information
Child's Name *
(First and last)
Your answer
Nickname
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Entering Grade *
Please list any additional information about your child that we may need to know such as health issues, behavioral issues, activity or diet restrictions or allergies.
Your answer
How did your child become interested in filmmaking, screenwriting and/or acting?
Your answer
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