STUDENT NAME GRADE AGE M/F PARENT/GUARDIAN NAME PHONE MAILING ADDRESS CITY STATE ZIP STUDENT SIGNATURE: PARENT/LEGAL GUARDIAN SIGNATURE:

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Student Entry Form To be completed by PTA before distribution: PTA LEADER NAME EMAIL PHONE LOCAL PTA NAME NATIONAL 8-DIGIT ID # STATE ID # COUNCIL PTA DISTRICT PTA REGION PTA STATE PTA MEMBER DUES PAID DATE INSURANCE PAID DATE BYLAWS APPROVAL DATE Register at PTA.org/Reflections DEADLINE FOR ENTRY: TEACHER/ROOM #: STUDENT NAME GRADE AGE M/F PARENT/GUARDIAN NAME EMAIL PHONE MAILING ADDRESS 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) ARTS CATEGORY (Check One) PRIMARY (Preschool- Grade 2) HIGH SCHOOL (Grades 9-12) DANCE CHOREOGRAPHY MUSIC COMPOSITION INTERMEDIATE (Grades 3-5) SPECIAL ARTIST (All Grades) FILM PRODUCTION PHOTOGRAPHY MIDDLE SCHOOL (Grades 6-8) 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 10 to 100 words describing your work and how it relates to the theme)

DANCE CHOREOGRAPHY is the act of creating movement. The choreographer (student submitting entry) may be the performer or one of the performers, but the choreographer does not have to perform in the entry. Consider the following styles and ensembles to portray your original choreography: Ballet, contemporary, ethnic and folk, freestyle, hip hop, jazz, street dance, and tap. Originality: Only new and original choreography inspired by the theme may be submitted. Each entry must be the work of one student only. Consider use of background song(s), props and the location to show a clear relation of the dance choreography to the theme. An explanation of the origin of the dance and/or the significance of the choreography might be a useful addition to the artist statement when submitting a dance choreography entry that involves traditional, cultural or regional dances. Whether an entry displays formal dance technique or a simple approach, it will be judged primarily on how well the student uses his or her artistic vision to portray the theme, originality and creativity. Copyright: Use of copyrighted material is prohibited. Plagiarized entries will be disqualified. Use of background music must be cited on the student entry form. Presentation: Video must not exceed 5 minutes in length and 1GB (one gigabyte) in file size. Ideas for Audio/Visual Quality: Use a tripod to hold the camera still. Make sure there is plenty of lighting, especially if shooting indoors. Turn off all noise-making devices in the room (air conditioners, fans, telephones, etc.). Record a short test and watch it. If needed, change the record volume or microphone location. Make sure the background music (if any) is audible on the recording. Allow for two seconds of silence at the beginning and end of your recording. Accepted video file formats include: AVI, MOV, MPG, MPEG, MP4, WMV, FLV and F4V. Label video file and CD/USB Drive with your State, Arts Category, Grade Division, Last Name, First Name (Example: PA.DANCE.PRI.SMITH.JOHN) Submit dance video and student entry form according to your PTA s instructions.

FILM PRODUCTION is the process of making a film. The producer (student submitting the entry) is not required to appear in the film but if the student chooses to, a camera tripod may be used. All screenwriting, directing, camera/filming and editing must be done by the student producer. PowerPoint presentations are prohibited. Consider the following styles to portray your original work of fiction or nonfiction: Animation: Demonstrates motion by sequencing still objects or using computer-generated graphics. Narrative: Tells a fictional story developed by the student. Documentary: Presents facts and information. Experimental: Explores movement, light and montage. Multimedia: Uses a combination of different contents (text, audio, still images, animation, etc.). Originality: Only new and original videos inspired by the theme may be submitted. Each entry must be the original work of one student only. An explanation of the storyline and/or the significance of the film style might be a useful addition to the artist statement. Whether an entry displays use of technologies or a simple approach, it will be judged primarily on how well the student uses his or her artistic vision to portray the theme, originality and creativity. Software used to create an entry should only enhance and present the work, not provide the primary design. Copyright: Entry may include public places, well-known products, trademarks or certain other copyrighted material as long as that copyrighted material is nonessential to the subject matter of the piece and/or is a smaller element of a whole. Use of background music must be cited on the student entry form. Presentation: Video must not exceed 5 minutes in length and 1GB (one gigabyte) in file size. Ideas for Audio/Visual Quality: Use a tripod to hold the camera still. Make sure there is plenty of lighting, especially if indoors. Turn off all noise-making devices in the room (air conditioners, fans, telephones, etc.). Record a short test and watch it. If needed, change the record volume or microphone location. Make sure the background music (if any) is audible on the recording. Allow for two seconds of silence at the beginning and end of your recording. Accepted video file formats include: AVI, MOV, MPG, MPEG, MP4, WMV, FLV and F4V. Label video file and CD/USB Drive with your State, Arts Category, Grade Division, Last Name, First Name (Example: PA.DANCE.PRI.SMITH.JOHN) Submit video and student entry form according to your PTA s instructions.

LITERATURE is the art of writing. The author (student submitting entry) is a person who expresses their own thoughts and ideas through the use of words. Authors submit a single literary work, handwritten or typed, using grade-appropriate grammar, punctuation and spelling. Collections of literary work (such as poems and short stories) are not accepted. Consider the following literary styles to portray your original work of fiction or nonfiction: Prose, poetry, drama (screen play and play script), reflective essay, narrative, or short story. Originality: Only new pieces of artwork inspired by the theme may be submitted. Each entry must be the work of one student only. An explanation of the storyline and/or the significance of the literature style might be a useful addition to the artist statement. Whether an entry displays formal writing technique or a simple approach, it will be judged primarily on how well the student uses his or her artistic vision to portray the theme, originality and creativity. Spoken word audio recordings and illustrated entries including books with pictures drawn by the student author are acceptable; however, only literary content is judged. Copyright: Use of copyrighted material is prohibited. Plagiarized entries will be disqualified. Presentation: Entry may be hand written or typed. Writing must not exceed 2,000 words. Acceptable Use of Type, Dictation and Translation Be typed by another person as long as the original work or a copy of the original work is attached. Be dictated to another person and printed or typed in exact words as spoken by the student if the student is in pre-school, kindergarten or 1st grade. (Transcribers should make every attempt to retain the same level of language and accuracy that is reflected in the student s original work). Students for whom English is not their first language may submit literature entries in their own language. An interpretive translation in English must accompany the entry. Translators should make every attempt to retain the same level of language and accuracy that is reflected in the student s original work. Print Format: Number each page. Print on 8.5x11 paper (one sided only). Electronic Format: Save/scan word document as a single PDF. Label file with your State, Arts Category, Grade Division, Last Name, First Name (Example: PA.DANCE.PRI.SMITH.JOHN) Label Cover Page/CD/USB Drive with your State, Arts Category, Grade Division, Last Name, First Name. Submit literature and student entry form according to your PTA s instructions.

MUSIC COMPOSITION is the process of creating a new piece of music. The composer (student submitting entry) is a person who expresses their own thoughts and ideas through the use of sound. The student composer may submit an entry performed by an individual or group and/or make use of a sound library generated performance of a composed score. Student composers are not required to perform their composition. Middle and high school grade divisions require music score/tablature/notation, either traditional or tablature. Consider the following musical styles and instruments to portray your original composition: A cappella, blues, choral, country, electronic, hip hop, jazz, world music, musical, orchestral, pop, R&B, religious, rock, symphonic/concert band and traditional. All instruments, sounds, styles and combinations are accepted. Software may be used to produce an audio recording that does not include commercially pre-programmed imported MIDI or other source files. Entries containing algorithmic composition techniques are not accepted. An explanation of the origin of the music and/or the significance of the music style might be a useful addition to the artist statement when submitting a music composition that involves traditional, cultural or regional instruments. Whether an entry displays formal composition technique or a simple approach, it will be judged primarily on how well the student uses his or her artistic vision to portray the theme, originality and creativity. Originality: Only new and original songs inspired by the theme may be submitted. Each entry must be the work of one student only. Copyright: Use of copyrighted material is prohibited. Plagiarized entries will be disqualified. Presentation: Audio must not exceed 5 minutes in length and 1GB (one gigabyte) in file size. Videos are not accepted. Ideas for Audio Quality: Do not place the recording device on top of an instrument(s) or speakers. Turn off all noisemaking devices in the room (air conditioners, fans, telephones, etc.). Record a short test and listen to it. If needed, change the record volume or microphone location. Allow for two seconds of silence at the beginning and end of your recording. Notation & Score Required for Middle School & High School Divisions Only. Notation software may be used to create a score. Whether the score is handwritten or computer-generated, appropriate instrumentation and voicing are required for the performance. Number each page. Print on 8.5x11 (one sided only) or save/scan score as a single PDF. Accepted audio file formats include: MP3, MP4, WMA, WAV, ACC (M4A) and FLAC. Label audio file, notation/score (if applicable) and CD/USB Drive with your State, Arts Category, Grade Division, Last Name, First Name (Example: PA.DANCE.PRI.SMITH.JOHN) Submit music composition and student entry form according to your PTA s instructions.

PHOTOGRAPHY is the process of creating an image. The photographer (student submitting entry) is a person who captures their own thoughts and ideas with a camera. By focusing on objects using various lenses, filters and light sources, photographers may demonstrate the use of photographic techniques conventionally or digitally. Accepted forms of photography include: A single photo, panoramic, photomontage (one seamless print of multiple original photos), a multiple exposure, negative sandwich or photogram. Original black-and-white and color images are accepted. Non-accepted forms of photography include: Entries with added graphics over the image, including lettering, are not accepted. Original film (negatives or transparencies) and multidimensional pieces are not accepted. Originality: Only new pieces of artwork inspired by the theme may be submitted. Each entry must be the work of one student only. Consider use of objects, lighting and the location to show a clear relation of the photo to the theme. An explanation of the photography process/form might be a useful addition to the artist statement. Whether an entry displays use of technologies or a simple approach, it will be judged primarily on how well the student uses his or her artistic vision to portray the theme, originality and creativity. Copyright: Use of copyrighted material, including copyrighted cartoon characters or other such material, is not acceptable in any photography submission, with the following exception: Photographs may include public places, well-known products, trademarks or certain other copyrighted material as long as that copyrighted material is incidental to the subject matter of the piece and/or is a smaller element of a whole. The resulting work cannot try to establish an association between the student and the trademark/business/material, or influence the purchase/non-purchase of the trademarked good. Presentation: Framed photos are not accepted. Matting is accepted. Print Photo: Must not exceed 11x14 inches, including matting. Mount on sturdy material such as cardboard or poster board. Digital Photo: Must be high resolution (300 dpi or higher). Label back of print and digital photo file with your State, Arts Category, Grade Division, Last Name, First Name (Example: PA.DANCE.PRI.SMITH.JOHN). Submit photography and student entry form according to your PTA s instructions.

VISUAL ARTS include many art forms that are visual in nature. The artist (student submitting entry) is a person who captures their own thoughts and ideas to create a visual piece of art. Accepted forms of visual art include: Architecture (2D/3D), carpentry, ceramics, collages, photographic collages (multiple photos cut/pasted), computer-generated image, crafts, design, dioramas, drawing, fiber work, jewelry, kites, metal etching/punch work, mobiles, painting, printmaking, sculpture and wind chimes. Originality: Only new pieces of artwork inspired by the theme may be submitted. Reproductions or enlargements of other artwork are not accepted. Each entry must be the original work of one student only. An explanation of the art form might be a useful addition to the artist statement. Whether an entry displays use of formal technique or a simple approach, it will be judged primarily on how well the student uses his or her artistic vision to portray the theme, originality and creativity. Copyright: Use of copyrighted material, including any copyrighted cartoon characters or likeness thereof, is not acceptable in any visual arts submission, with the following exceptions: Visual artwork may include public places, well-known products, trademarks or certain other copyrighted material as long as that copyrighted material is incidental to the subject matter of the piece and/or is a smaller element of a whole. The resulting work cannot try to establish an association between the student and the trademark/business/material, or influence the purchase/non-purchase of the trademarked good. Visual arts collages may include portions of existing copyrighted works, such as photographs, magazine clippings, internet images and type cut out of a newspaper, as long as those portions of copyrighted works are used to create a completely new and different work of art. Presentation: Framed artwork and artwork containing loose materials is not accepted. Matting is accepted. 2D artwork (e.g. painting) Dimensions must not exceed 24x30 inches, including matting. Paper entries must be mounted on sturdy material. 3D artwork (e.g. sculpture) Must be able to move for display purposes. Must include packaging materials and 3 photos of the entry (a combination of angles) for judging, ID and exhibition purposes (entries that require assembling/repairing from transporting will be disqualified). Digital photo(s) of artwork: Must be high resolution (300 dpi or higher). Label back of artwork and photo file(s) with your State, Arts Category, Grade Division, Last Name, First Name (Example: PA.DANCE.PRI.SMITH.JOHN). Submit artwork and student entry form according to your PTA s instructions.