bossier parish
communit~ college
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& l"tKt-UKIVIING
ARTS
_______
6220
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s Sr. · B
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C
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Y,
LA
71111 ·
www.bpcc.edu
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_
Commun
ication (318) 678-6038 · (318) 678-6393 fax
Performing Arts (318) 678-6021 · (318) 678-6424 fax
Member
of
the
Louisiana
Community
& Technical College System
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Script Submission Form
Title of Work: _________________________________________________________________
Name: ______________________________________________________________________
Address: ____________________________________________________________________
Phone: ______________________________________________________________________
Email: _______________________________________________________________________
Synopsis:____________________________________________________________________
With my signature, I grant Bossier Parish Community College and the Division of
Communication and Performing Arts the use of enclosed material for consideration. I further
understand that submission of this form does not constitute acceptance of the material. I do not
hold Bossier Parish Community College or the Division of Communication and Performing Arts
responsible for any copyright infringements that might arise at a later time. I grant permission to
Bossier Parish Community College and the Division of Communication and Performing Arts to
copy and use this material in any way needed for the submission process. I also am aware if my
submission is selected that I will have to sign a script usage release form.
Signature___________________________________________ Date__________________
Updated January 2016
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