First name:
Last name:
Address:
City:
State:
Zip:
E-mail:
Cell phone: ( ) -
Emergency contact:
  ( ) -
Graduation date (or est)

Major

Class
Attended Hollywood
Seminar before?
Year attended:
Where will you be staying?
Honors/Awards
Affiliations/Organizations
How did you hear about
the Hollywood Seminar?

What do you hope to accomplish by attending Hollywood Seminar?
(one to two sentence answer)

orange = required field

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If you receive an error message or your online registration does not process, then please mail in your registration and copy your registration information to info@hollywoodseminar.com As long as the registration is postmarked by the deadline it will be accepted. We apologize for the inconvenience.