Festival Field Trip Application
To apply, please read the FILM SELECTIONS sheet and choose an appropriate film. Please fill out this application in full. If you would like to attend multiple days, please fill out a separate application for each day.
If you have any questions, please contact Julie Basla, Education & Outreach Manager at jbasla@filmadelphia.org

APPLY EARLY! Applications will be considered on a rolling basis. The EARLY DEADLINE for applications is October 8. The FINAL DEADLINE is October 15. Confirmations will be sent by email on or before October 18th.

All field trips take place at 10:00am at the Prince Theater, 1412 Chestnut Street, Philadelphia, PA 19102

**Films are best suited for grades 6 -12**

Email address *
Name of School *
Your answer
School Phone *
Your answer
Teacher Name *
Your answer
Teacher Phone (Cell) *
Your answer
Teacher Email *
Your answer
Grade Level *
Your answer
Course/s Taught *
Your answer
Total Number Attending (including students, teacher, and chaperones) *There must be at least 1 adult chaperone per 10 attending students *
Your answer
Please indicate your FIRST CHOICE film *
Please indicate your SECOND CHOICE film *
Please indicate your THIRD CHOICE film *
All screenings take place at the Prince Theater (1412 Chestnut Street). Transportation stipends to cover part of a bus reservation may be available. Please indicate whether or not you would like to be considered for this opportunity. *
Required
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