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* 1. Student Name(s):

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* 2. Grade Level of Student(s):

  Grade Level
6
7
8
9
10
11
12

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* 3. Title of Film:

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* 4. Log Line (One Sentence Hook):

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* 5. Two to Three (2-3) Sentence Synopsis of Film:

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* 6. Please submit a five (5) sentence artist's statement on how your film relates to this year's festival theme.

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* 7. Name(s) of Cast and Crew:

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* 8. School Name:

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* 9. School Address:

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* 10. School Phone Number:

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* 11. Faculty Advisor:

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* 12. Email Address of Student:

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* 13. Phone Number of Student:

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* 14. I agree that if my film is accepted into the Autry Student Film Festival, I will attend all festival programming on Saturday, April 25, 2015.

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* 15. I certify that this film is of my own creation.

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