Anime Festival Wichita 8
Anime Music Video Submission Form

Creator Info

Name (real):

E-mail:

Address:
City:                State:                           Zip:

AMV Info

Creator/Studio name (if different from your real name):

Category (Action, Comedy, Romance/Drama, Dance/Up-Beat/Random, Un-judged):

Title of Video:

Song Title:

Song Artist:

Sources Used ("Various" if more than 3):

• .
• .

Multi-editor information (if any: include names and e-mail address, the first editor listed will be the primary contact):

Message to the Judges (anything they need to know before judging, such as added sub-titles):

Artistic Statement (This will be used when scoring the 'Artistic Merit' category):

Video file name:

By submitting this form, I understand that any media sent to the contest will become the property of Anime Fest of Wichita. I also certify that the Anime Music Video(s) I have submitted is my own work and consent to having having it screened at Anime Fest of Wichita.

Full Name (printed):

Signature:________________________________________