FastCoast Film Academy Spring Filmmaking Course Registration Form

FastCoast Film AcademyRegistration Form

Fill out the form carefully for registration
Student Name

First NameMiddle NameLast Name
Birth Date

MonthDayYear
Gender
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Student E-mail
example@example.com
Mobile Number
Phone Number
Work Number
Courses
Additional Comments

The Folloing Classes:

High School Filmmaking Class - Mondays 4:30pm to 5:30pm (8 Week Program)

Middle School Filmmaking Class - Wednesdays 4:30pm to 5:30pm (8 Week Program)

$200 for 8 Week Class, Make Checks to "FastCoast Productions" or ask about our Scholarship Program. We accept card here,

Pay Via Debit Card or Credit Card: https://www.paypal.com/ncp/payment/9G27TAYYGFVML

If having a problem with the link email us or on the day we can help you in class with it on location.
Due to the following of being a film and video media class; you may appear on camera. Therefore:
I agree that my participation in the Class, Production, Film, Behind the Scenes, and Video may be edited in your sole discretion. I
consent to use of my name, likeness, voice and biographical material about me in
connection with Video publicity and related institutional promotional purposes. I
expressly release you, your agents, employees, licensees and assigns from and against
any and all claims which I have or may have for invasion of privacy, defamation or any
other cause of action arising out of production, distribution, broadcast or exhibition of
the Video.
As a Student, Volunteer, Actor, or Crew member I expressly release you, your agents, employees,
licensees and assigns from and against any and all claims which I have or may have for
invasion of privacy, defamation or any other cause of action arising out of production,
distribution, broadcast or exhibition of the Video.
Student's Full Name

First NameLast Name
Guardian's Name

First NameLast Name
Guardian's Signature

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FastCoast Film AcademyRegistration Form