The
Philadelphia
Film Academy
Your Subtitle text
Please complete the information listed below and click the SUBMIT button.
 
  By completing and submitting this form you agree to the terms and conditions of the tuition refund and other policies listed at the bottom of each class page.

If student is under 18, a parent or guardian must complete the form
and enter their own name, email address
and phone number for contact purposes.  

FILMTECH REGISTRATION FORM


Course/Program Name:
Start Month
Student's First Name
Student's Last Name
Date of Birth
Parent/Guardian First Name:
Parent/Guardian Last Name:
Email Address
Street Address 1
Street Address 2
City
State
ZIP Code
Phone Number