School Registration Form - Dakota Digital Film Festival

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Day Session
(9:00 a.m. – 2:45 p.m.)
SCHOOL REGISTRATION FORM
March 31, 2017 ▪ Belle Mehus Auditorium ▪ Bismarck, ND
Complete the following and submit to:
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or Dakota Media Access, 307 N 4
St, Bismarck ND 58501
Date: _____________________
School: ___________________________________________________________________________
Teacher (s): ________________________________________________________________________
Email: ____________________________________________________________________________
School Phone #: _________________________
Cell #: __________________________________
Address: __________________________________________________________________________
City: ____________________________________     State: ____________
Zip: ________________
Number of students attending from your school: _________
Number of others (e.g. teachers, chaperones) attending from your school: ___________
Attendee names and off-street parking needs must be received by March 17, 2016.
Registration received by 4:00 p.m. CST Friday, March 3, 2017 - FREE
Registration after deadline - $20.00 per school, plus $5.00 per each attendee
▪ 307 N 4
St Bismarck North Dakota 58501 ▪ 701-258-8767
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