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09 EntryForm

09 EntryForm

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Published by tjpasch
Images of Youth Film Festival 2009 Entry Form
Images of Youth Film Festival 2009 Entry Form

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Published by: tjpasch on Feb 19, 2009
Copyright:Attribution Non-commercial

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06/16/2009

 
IMAGES OF YOUTH 2009 VIDEO FESTIVAL
E
NTRY
F
ORM
 
Must be Postmarked by
April 17, 2009
Title of video: _______________________________________________ Length: ____: ____ 
(Up to 5:00 including credits)
Student producer’s name asit would appear on an award: _____________________________________________________ 
(If more than one student producer’s name is to appear on an award, pleaselist their name(s) and information on a separate sheet)
Grade: ______ Age: _______ Address: ________________________________________________________________________ City: _____________________________ State: ________ Zip Code: _______________________ Phone: ___________________________ Email:_________________________________________ Name School/Organization: _________________________________________________________ Address: __________________________City: ____________ State: _____ Zip Code: _________ Teacher/Sponsor:
(please print first & last name)
 ___________________________________________ Phone: (Work)_____________________________ (Home or cell) __________________________ Email: ____________________________________ Signature: _____________________________ 
C
HECK
 
THE
ONE
TOPIC
 
THAT
 
BEST
 
REFLECTS
 
THE
 
THEME
 
OF
 
 YOUR
 
PRODUCTION
AdvertisingHeroesAlcohol, tobacco and other drugsLove/RelationshipsBody ImageMediaCultural IdentityPoliticsEducationRacismEnvironmentStereotypingGlobal/Social IssuesViolenceHealthOther? (explain in statement)
IMPORTANT
- P
LEASE
CHECK OFF
THAT
 
 YOU
 
HAVE
C
OMPLETED
 
AND
E
NCLOSED
 
EVERYTHING
 
 YOU
 
NEED
.S
EE
F
ESTIVAL
G
UIDELINES
 
FOR
 
ANY
 
ITEM
 
 YOU
 
DON
T
 
UNDERSTAND
.
___ My/our entry is on a DVD-R format disc playable in a home DVD player.___ The disc is labeled on the top in Sharpie with title, my name, and phone number. ___ A statement (up to 100 words) about my/our video is on the back of this form.___ The soundtrack is original? (Original soundtracks will receive extra consideration).___ A Permission/Release form for 
EACH
student producer is included.___ My entry is appropriate as described in the Festival Guidelines.
Mail entries to
J
ENNIFER
S
LACK
, 3723 19
TH
A
VE
SW, S
EATTLE
, WA 98106
 
All DVDs become the property of Action for Media Education
F
IND
 
COPIES
 
OF
 
ENTRY
 
AND
 
PERMISSION
 
FORMS
 
AT
 
THE
AME
WEBSITE

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