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Contact Information
Name * First Last
Address *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Email: *
Phone: * ### - ### - ####
Age *
School or Organization: *
Grade: *
Teacher(s): *
Video Information

Submissions may be used by the Rochester Teen Film Festival to post on the festival website and may be shown for promotional and academic purposes.
Video Title: *
Running Time (10 minute maximum): *
Genre: *
Brief Synopsis: *
Instructions for Video Submissions:

There are 2 options for submissions:
1. Provide url to where you have uploaded your video online (Youtube, VImeo)

or
2. Print out the confirmation email that will be sent to you after you fill out this form and send it and a DVD to:
Dr. Brian Bailey
292 Golisano Academic Center
Nazareth College
4245 East Avenue
Rochester, NY 14617
URL of Video:
Do Not Fill This Out

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