2017 ADRENALINE FILM PROJECT
APPLICATION
Name of Director/Team Leader *
Your answer
School (if applicable)
Your answer
Address *
Your answer
Cell Phone *
Your answer
Home Phone
Your answer
Work Phone
Your answer
Email Address *
Your answer
Film Sample Link *
Must be an internet link (Youtube, Vimeo, Webpage)
Your answer
Title of Film Sample *
Your answer
Director *
Must be a team member
Your answer
Date Completed *
MM/DD/YYYY
Your answer
Running Time (10 min. max) *
Provide time cues if film exceeds 10 min.
Your answer
Application Fee Agreement
I am hereby entering the Adrenaline Film Project 2017. Please mail a non-refundable entry fee of $20 to the Virginia Film Festival (Entry Form, payment, and Participant’s Agreement must all be received before entry is considered complete).

I understand that there is only space for a limited number of teams and that submitting this entry form does not guarantee my team a space. I understand that if my team is selected to participate, I must send a check or money order for the balance of the participation fee, within one week of notification of my team’s acceptance.

The participation fee is as follows (amount per team):
• $80 for current University of Virginia students
• $100 for previous (non-UVA) Adrenaline participants who refer a new team to Adrenaline
• $130 for non University of Virginia teams and community teams

You application will be officially complete once you submit the $20 entry fee. Please send a check or money order made payable to UVA-VA Film Festival to:

Virginia Film Festival
ATTN: Adrenaline Film Project
PO Box 400869
Charlottesville, VA 22904

OR

Drop it off in person at:

617 West Main Street
2nd Floor
Charlottesville, VA 22903

Only teams in good standing will be allowed to compete. Furthermore, I understand that my signed Participant’s Agreement must be submitted with this entry form to be eligible for consideration in the Project.

By checking the box below, you are acknowledging that you have read the above statements and will comply with the terms and conditions. *
Required
Team Roster
Please complete the Team Roster below to the extent possible at this time.

You will be required to submit a complete roster and release forms with your finished film/video.

Please include with the names of team members their anticipated roles in the production
(i.e., director, producer, writer, editor, camera operator, etc.)

Participant 1 Name *
Director
Your answer
Previous Adrenaline participant? *
Required
Participant 2 Name *
Your answer
Participant 2 Email *
Your answer
Participant 2 Role *
Your answer
Previous Adrenaline participant? *
Required
Participant 3 Name *
Your answer
Participant 3 Email *
Your answer
Participant 3 Role *
Your answer
Previous Adrenaline participant? *
Required
Equipment Details *
Please list any equipment that you plan to use during production and include quantity. (i.e., 1 camera, 1 external audio systems, 2 media storage/memory cards).
Your answer
New Adrenaline Participants: Were you referred by a previous Adrenaline participant? *
Required
If yes, by who?
Your answer
Previous Adrenaline Participants: Did you refer a new Adrenaline team? *
Required
If yes, who did you refer?
Your answer
How did you hear about the Adrenaline Film Project? *
Required
If other, how did you hear about the Adrenaline Film Project?
Your answer
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