High School Film Festival Registration Form

School Name______________________________________________

Contact Person_____________________________________________

School Address____________________________________________

Phone Number_____________________________________________

Email___________________________________________________

Name of Film you would like to bring your students to see.

________________________________________________________

Date of Film

________________________________________________________

Number of students you plan to bring

________________________________________________________

Please fax this form to 212 423 3232 or e-mail it to EPearl@TheJM.org. Attention: Scheduling Coordinator, Education Department. The Scheduling Coordinator will contact you to confirm your reservation.