Registration: JBFC School and Group Programs Shiftboard

If you have not completed this form, thank you for taking a moment to complete and submit the following details.

For more information on See Hear Feel Film, click here: http://www.burnsfilmcenter.org/education/see-hear-feel-film.

Thank you for your patience, it might take a few hours or days until your registration has been processed.


* required field
APPLICANT INFORMATION
 

ADDITIONAL INFORMATION
* Preferred Contact Method
Choose See Hear Feel Film option: * PLAN A: Film Unit One in October, November, December or January. Film Unit Two in February, March, April, or May. Both units are conducted at the Media Arts Lab. PLAN B: Film Units One through Five will be conducted by the teacher in the classroom between October and June.
Plan A
Plan B
* Number of Participating Classes:
* Anticipated Class Size: 2 classes or a maximum of 58 persons per session (includes teachers and chaperones).
Additional Comments (For example, popcorn is provided on each visit to the Media Arts Lab. If any students possess allergies, please indicate so here.):

By submitting this form, you acknowledge that any damage resulting from intentional misuse of the JBFC/Media Arts Lab facilities or equipment from the school or organization listed above will be the school or organization's financial liability. By dating this contract, I agree to full payment, liability for damage, etc.
Today's Date:



We appreciate your time and interest


 
 
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