Script to Screen Advanced Registration Form

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FORM PRINTS BEST WITH 1/2 INCH LEFT AND RIGHT PAGE MARGINS

Send this completed Registration Form, a completed Risk and Consent Form, and the $75 workshop fee to:

T Tauri Film Festival, 195 Peel Road, Locust Grove, AR 72550

Space is limited. Registrations will be accepted as they are received until June 30, 2008 or until registration reaches capacity. A registration confirmation will be mailed to the person whose signature appears on the completed Risk and Consent Form.

Cancellations received on or before June 15, 2008 will qualify for a full refund, minus a $10 cancellation fee. Refunds cannot be issued for cancellations received after June 15, 2008.

SCRIPT TO SCREEN ADVANCED WORKSHOP REGISTRATION FORM

STUDENT INFORMATION

Name:	______________________________________________________________________________
Mailing Address:	______________________________________________________________________________
Phone(s):	______________________________________________________________________________
Email:	______________________________________________________________________________
Entering Grade:	________________
Gender:	____ Male ____ Female

Profile Statement--in the space below, please include the following:

Your child's involvement in the arts or other relevant extracurricular activities.

Specific video training or experience your child has had. Previous T Tauri Movie Camp workshop or equivalent experience or training required.

A two or three sentence statement written by your child stating his/her goals in attending the Script to Screen Advanced Workshop.

___________________________________________________________________________________________________________

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