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Student Entry Form DEADLINE FOR ENTRY: _______________
To be completed by PTA before distribution: PTA LEADER NAME EMAIL
PHONE
LOCAL PTA NAME NATIONAL 8-DIGIT ID # COUNCIL PTA STATE PTA
STATE ID #
00050095
DISTRICT # Ohio
MEMBER DUES PAID DATE
Register at PTA.org/Reflections
STUDENT NAME PARENT/GUARDIAN NAME MAILING ADDRESS
GRADE EMAIL
AGE
M/F
PHONE CITY
STATE
ZIP
Ownership in any submission shall remain the property of the entrant, but entry into this program constitutes entrant’s irrevocable permission and consent that PTA may display, copy, reproduce, enhance, print, sublicense, publish, distribute and create derivative works for PTA purposes. PTA is not responsible for lost or damaged entries. Submission of entry into the PTA Reflections program constitutes acceptance of all rules and conditions. I agree to the above statement and the National PTA Reflections Official Rules. STUDENT SIGNATURE: _______________________________ PARENT/LEGAL GUARDIAN SIGNATURE: _______________________________ GRADE DIVISION (Check One) PRIMARY (Preschool- Grade 2) INTERMEDIATE (Grades 3-5) MIDDLE SCHOOL (Grades 6-8) HIGH SCHOOL (Grades 9-12) SPECIAL ARTIST (All Grades)
ARTS CATEGORY (Check One) DANCE CHOREOGRAPHY MUSIC COMPOSITION FILM PRODUCTION PHOTOGRAPHY LITERATURE VISUAL ARTS
TITLE OF ARTWORK ARTWORK DETAILS (Dance/Film: cite background music; Music: musician(s)/instrumentation; Literature: word count; Photo/Visual Arts: materials & dimensions) ARTIST STATEMENT (Must be at least one sentence up to 100 words describing your work and how it relates to the theme. You may attach sheet.)
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VISUAL ARTS
QUICK START
Original print, drawing, painting, collage, photographic collage, metal etching or punch work, fiber work, or computergenerated artwork Dimensions of 2D works not to exceed 24 x30 including matting No frames Mount 2D artwork on a sturdy backing *Category expanded to include 3D works. Local unit rules apply. Must include three photos for each 3D entry. See handbook for details.
PHOTOGRAPHY
Original Composition Voice, instrument(s), or a combination of voice and instrument(s) Not to exceed 5 minutes See www.ohiopta.org for more info
PTA DUES MUST BE PAID TO OHIO PTA BY NOVEMBER 30, 2017
No larger than 11” X 14” Including matting No thicker than 3/8”
FORMAT Audio Recording of Music Performance: MP3, MP4, WMA, WAV, ACC, FLAC Record production on CD or flash drive
Music notation is required for Middle and High School entries
Color Black and White Photomontage, multiple exposure, negative sandwiches, and photograms
MUSICAL COMPOSITION
Lyrics are optional
REFLECTIONS
at a GLANCE
LITERATURE Fiction or non-fiction Prose, poetry, drama, song and lyrics Do not exceed 2000 words
No frames No 3-D entries No slides or transparencies
AGE CATEGORIES
Grade appropriate grammar, punctuation and spelling
DANCE CHOREOGRAPHY
Primary: Preschool – Grade 2
May be illustrated, handwritten or typed
Original work of one student Not to exceed 5 minutes Credit music used
Intermediate: Grades 3 – 5
Two copies: use 8.5 x 11”
FORMAT
Middle/Junior: Grades 6 – 8
FILM/VIDEO PRODUCTION
Video: AVI, MOV, MPG, MPEG, WMV, FLV Maximum Upload File Size: 1GB
Senior: Grades 9 – 12
Animation Narrative Documentary Experimental Media presentations
All entries must be signed by student and parent (unless over 18)
Original work of one student
LOCAL DEADLINE:
Not to exceed 5 minutes Credit music used
Record production on DVD or flash drive
SPECIAL ARTIST Disability as defined by Americans with Disability Act (ADA) May enter in any category See guidelines for accommodations in Reflections Handbook Student Entry Form must be signed by parent/guardian regardless of age
FORMAT Video: AVI, MOV, MPG, MPEG, WMV, FLV Maximum Upload File Size: 1GB (one gigabyte) Record production on DVD or flash drive
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