ࡱ                >  	               2          4          1    Y 	  	                bjbjWW                  	 Y   = = u                      D                                         ]                             .      .      .  $           R      R      R      R      R     ^     R                                                           
     
      
      
  -   
          [  $   J    >  b                        .                            {                                                                                                    l         .            
                      R      R                                        
                	     )
  S     ,   .                                                              
            z     @	M(W\R      R            |
                                                                                                                                           STUNTS / SPECIAL EFFECTS RELEASE & AUTHORIZATIONStunts / Special Effects may be used in student production under the following conditions: Student Filmmaker certifies that he/she has read and understands the section or sections in the School of Filmmaking Safety Handbook that apply to the action being filmed, including but not limited to the following:  COMMUNICATIONS REGARDING STUNTS, EXPLOSIVES AND PYROTECHNIC SAFETY, OPEN FLAMES, SMOKE, FOG AND LIGHTING EFFECT RULESApproval of the Production Office, Associate Dean of Production, Campus Police and Physical Plant.This is to certify that __________________________________________is/are enrolled in the School of Filmmakingfor the current term and is/are engaged in the production of an authorized ____________(film/video) project entitled_________________________________________________________________.Filming Location(s): ____________________________________________________________________________Date, time and duration of shoot:  ___________________________________________________________Stunt / Special Effects Coordinator: _________________________________________________SCRIPT MUST BE ATTACHED TO THIS FORMSTUNTS: 	_____ FIGHT(S)	_____ EXTREME HEIGHTS / JUMPS		_____ OTHER: ____________________________________________________________________SPECIAL EFFECTS:	_____ FIRE	_____ SMOKE / FOG		_____ CHEMICAL			_____ DRY ICE	_____ EXPLOSIVES			_____ OTHER: _____________________________________________________________DESCRIBE STUNT / SPECIAL EFFECT IN DETAIL: 																																																																________________________________________	_____________________________________________	STUDENT FILMMAKER				INSTRUCTOR / FACULTY EXECUTIVE PRODUCERAPPROVAL:														SCHOOL OF FILMMAKING 					PHYSICAL PLANTPRODUCTION MANAGER																						CAMPUS POLICESCHOOL OF FILMMAKING1533 Main Street,  P.O. Box 12189 Winston-Salem, North Carolina  27117-2189PRODUCTION NUMBER __________________ PRODUCTION TITLE _____________________________________________________________DIRECTOR________________________________________  PRODUCER___________________________________________                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             ?  @  U  V  |  }      !
  a
  
  
  
            X  ^  u  v  x                                                                                                                                                                                            CJ  CJ  5	j    U
5>*CJ  >*CJ 
56CJ  CJ
  CJ  56>*CJ OJ QJ CJ  5CJ j    CJ UmH j    UmH  )           	  
          ?  @      U  V    9  |  }    >                                                                                                                                                                                                                                                                                                                          d     d    $ 	  $
& F d     d    $  $d$                 	  
          ?  @      U                                                                                                                                                                                                                                                                                                                                                                                                                                   
 	
     		      F	  G	  	  	  	  	  b
  c
  
  
  
        =  P  _  u  w  x                                                                                                                                                                                                                                                                                                                                                       $d$    $   d     d        P                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                d   $ / =!"#$%  0  0*1 	0 / =!8"8#$%  0  (                                                                                                                                                                                                                                                                                                                                                                                                                                        R  D d                PF                                T   
      
   0    :"  (  l    A                   b   Pe9tP'W      D     n  n~  Pe9tP'WPNG

   IHDR       x?T   gAMA     PLTE   ٟ   	pHYs  .%  .#k  IDATx휿LJ
C8AtHʔ.]*Tt.
>O!

tf,qb;I?.wQ (J.J.J.J.J.J.J.J.J.J.J.J.J.J.J.J.J.J.J.J.J.J.J.J.GQYuu.tèz*9QTuN5Á}&KJ6i2q]O<ѕUң:͝Ri2.awiW!5vAL"`wMVǩX_&*CH+בTОR㳏_UuGCHfc#zhh?W@]pGRQ*3S}KIUY.AxNIrFPxgL?hA5gG@"`_  7Ɩ?.Wz]9Uy
xèX@E.|*0 z:5Ǫ@EL˨eWRjE<Un][p"`*Lh'h=*C1rAUz0HeJ0pf0d_ yX 	PgA[:
V&FW@q1L;QYN8 s5zG_b
c0k1MW1G010LSDe?:
"U[2C߯z|vETLYSPDT3UETÚνghO0*\FAMXOz0`ꃉUU:P:LOT~.(^S{u3Lghf*cB~
̝D!GFed[f*8'T/SeUł
R".AL#UT
YW4<<jXRLT&TNM=x*?{⎤rT܃-v!VT0*z4ʏDaTn+?{J?x/
T/@*2K*!S=UsT䯰ѷS]S(%̸¿(rT~Am08e9LY<RUQ5qطWi_!7c.
>|sUG-ez5opQ.Jy{Gl-Rmè`Z|t^RY<?h9UU8Ch]7*qMŮ%*࠙<e`0yP١čJVjG㚒hq~r	H;l6dQ$U2ǳajf^䨱L洪W>U HJţ|"+yy -?N24=(߂S|0޿ZnI,QAGޓ+h1#F]/ܡ7LTcx_%Q
Qw{0U_B㿞phu'}/XITrITrITrITrITrITrITr9JIxY	bi672$|)U7#XL^+TZ^/|'6/ԩ\K5j3l+qN8Ow"ַܳs2Q:;96i\@5!}TfM5Bծ,IoڻY	տCf7jʬhs\R}O6<V-m*8φaQ{xmޤBBv
㉼nw}:g>oƺEeBTD-d2a×ξTv-/jOPNLp/R՚*l(~vӮ{8Lm9sa;1UEH7??ZT[VuMAH^WgS~;:ao/!*}w$no]Bnk}ItR`b!PNS_BQՒjo#ԏ
PT1KT-"ֻ^wTa3Q23
Kcz"N<RCoB*߃L8{=LoըT`{B#2PT: RunHۥ2U㯿0ˊQFZ_#4suDJN_*՚Ld{Wg>|N^ZHMβju"x"ت<a-Q5/*]ߊfjeM]o4UԷBXTie8ޝP{*g5(LP(_K=?  Ӫ~TWY46PGt"HUzޱ8i[|(Ln6xHZIeFRMOe*Zi0U=)Lq1vTQ,Nhqnj8WT?t5VfLڷXזdg**kE|n8J5a0YW1'=͸nVJ
>LXtoIDURFC;4:2ujOP/ C~G6D*<UָZ#
 ygg,h奧rox8few;df*MH{ɺ
QS׾T9YT-wvt摊c˙ 0Q*fYPVMTWv1U,IڦjָyyxST\}OYJuK*KT-ӫ|!UYIl6A$uE5UD嫾9X;-qTcJMw28D+:UdLUV:lF?%fy&^=-!zSy壪.hW;1*_*Zhz~쩪<>DdZnrt1kP{p|(ow	J*VӉ0ym&L5%'ҷ {9S<[&xjXP*{3zpK9:?Tx'ͧ,`
x5UpX*NOo8EY]qiP:8
\F~6U~BUNT8XM9CJQ3'TQ)֬+L]HU0`p͎&UcT`EqL>6> TҔbTO\2d}<{.s!ʻTYQqtXj*O/]%R<#UAL$.D3gx]lyZ7Sdy5̼*\\XsRcI;<6=KyzY>̅Tc<y11TP	.{rg9@JW\>R/f%(**'@i˪q5+hegE}%eT`S/vub1Pw=_(<ry8j[|K~}Wr)J.J.J.J.J.J.J.J.J.J.J.J.J.J.J.J.J.J.J.J.J.J.J.J.J.J.J.?LO    IENDB`                                                                                                                                                                                
  [         (  @ (    N o r m a l       CJ mH	                  < A@ <    D e f a u l t   P a r a g r a p h   F o n t                    f   C                                                                         f   C  F                       
             &                                         8                         @                          J   (    	   ln   3  -   
          l    
      
   0        1   1   1   1        ?                            T   B
      
  c $   8c                  ?                    r    
      
   6        1   1   1   1     8c     ?                             l    
      
   0        1   1   1   1     1  ?                            T   B
      
  c $   8c                  ?                    B    
        S              	   ?                                       t            1*    t           M   1*  N   t           R   1*    t          '     t         D a v i d   E .   E l k i n s , C : \ M y   D o c u m e n t s \ N C S A \ F O R M S \ G r o u p   R e l e a s e . d o c  D a v i d   E .   E l k i n s , C : \ M y   D o c u m e n t s \ N C S A \ F O R M S \ G r o u p   R e l e a s e . d o c  D a v i d   E .   E l k i n s , C : \ M y   D o c u m e n t s \ N C S A \ F O R M S \ G r o u p   R e l e a s e . d o c  D a v i d   E .   E l k i n s , C : \ M y   D o c u m e n t s \ N C S A \ F O R M S \ G r o u p   R e l e a s e . d o c  D a v i d   E .   E l k i n s " C : \ W I N W O R D \ N C S A \ F O R M S \ F O R M S T ~ 1 . D O C  D a v i d   E .   E l k i n s   C : \ W I N W O R D \ N C S A \ F O R M S \ S T U N T S . D O C  D a v i d   E .   E l k i n s   C : \ W I N W O R D \ N C S A \ F O R M S \ S T U N T S . D O C  D a v i d   E .   E l k i n s   C : \ W I N W O R D \ N C S A \ F O R M S \ S T U N T S . D O C  D a v i d   E .   E l k i n s   C : \ W I N W O R D \ N C S A \ F O R M S \ S T U N T S . D O C  P a u l   S k i d m o r e n C : \ P r o g r a m   F i l e s \ M i c r o s o f t   O f f i c e \ T e m p l a t e s \ N C S A   F o r m s \ S t u n t s - S p e c i a l   E f f e c t s   R e l e a s e   &   A u t h o r i z a t i o n   F o r m . d o t                                *        4N   5N` m    @              h    8OJ QJ o(       @HP DeskJet 850C LPT1: PCL5MS HP DeskJet 850C HP DeskJet 850C                   @ n          ,  ,                                                                              @ MSUD&HP DeskJet 850C                        7      d     HP DeskJet 850C                   @ n          ,  ,                                                                              @ MSUD&HP DeskJet 850C                        7      d               DN                            P   @     G                        T i m e s   N e w   R o m a n   5                       S y m b o l   3&                        A r i a l   "      h    \2\2r*      &                             #                                                                                                                                                                                                                                                                                                                              0                                                                                                     D a v i d   E .   E l k i n s  P a u l   S k i d m o r e                                                                                                                       
                    Oh +'0                                                 	   ,     8  
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                                                                "   #   $   %   &   '   (   *   +   ,   -   .   /   0   3   R o o t   E n t r y                                                 	           F    M?(W\ ](W\5          D a t a                                                         
                                               1 T a b l e                                                                                                        W o r d D o c u m e n t                                                                                        Y        S u m m a r y I n f o r m a t i o n                           (                                     !           D o c u m e n t S u m m a r y I n f o r m a t i o n           8                                        )           C o m p O b j                                                                                                j       O b j e c t P o o l                                                                    ](W\ ](W\                
  	           F   Microsoft Word Document 
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