Cinemaniacs 2020 Enrollment Form
Cinemaniacs is an after-school program where youth watch a diverse selection of local, global & historical films and explore the role of cinema in their own lives, communities, and society. This FREE program runs on Mondays from March 2 - April 27, 2020 (except April 6). We meet from 3:30 pm - 6:00 pm in The Albert M. Greenfield Education and Community Screening Room at the Philadelphia Film Center, 1412 Chestnut Street, Philadelphia. Snacks will be provided. If you have questions about the program, please email Big Picture Alliance at nikki@bigpicturealliance.org or call (443) 414-9919.

This program is a partnership between the Philadelphia Film Society and the Big Picture Alliance.
Email address *
Please provide your complete name. *
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Please provide your home address with a zip code. *
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Please provide a phone number where you can be reached. *
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Please provide an emergency contact name and phone number. *
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What school do you attend? *
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What grade will you complete in May/June 2020? *
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How old will you be when the program begins? (3/2/20) *
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Please list any food allergies or medical conditions that we should be aware of. *
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How did you learn about this program? *
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Why are you interested in this program? *
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A copy of your responses will be emailed to the address you provided.
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