National Neighborhood Day

tell a friend | home | site map

	Fill in this entry form online so all information is typed and legible. When complete, print this form, sign it, & send it along with your film and your $25.00 entry fee to: *National Neighborhood Day,* 17 Gordon Avenue, Suite 203, Providence, RI 02905

	All fields are mandatory.

SHORT FILM COMPETITION – 2006 PRINTABLE ENTRY FORM
NOTE: THIS FORM IS FOR PRINTING ONLY - DO NOT SUBMIT ELECTRONICALLY

If you came from another site and wish to FIRST read about the Short Film Competition: CLICK HERE.

	National Neighborhood Day Short Film Contest "What Does Neighborhood Mean To You?" Adult Entry Form

Your E-Mail Address:

Your Full Name:

Street Address:

City

State/Province

Zip Code:

Country, if not USA:

Please tell us how you heard about this Short Film Contest:		Please provide a brief (2-sentence max.) synopsis of your short film:

By signing below, you acknowledge that the film you are submitting is yours and violates no copyrights, and that if you are a finalist or winner you give permission for your film to be used in whole or in part to promote National Neighborhood Day (NND) and future NND contests. (Remember: If there is more than one filmmaker submitting this entry, each filmmaker must complete a separate entry form and all entry forms must be mailed in together with the film.)

Signature of filmmaker:_________________________________

Date:

If this entry is a film made with funding from a university or other institution who holds the rights to the film, a representative from that institution must sign below to indicate permission for the film to submitted in this contest.

Print Name:_______________________________________________

Print Position:______________________________________________

Print Name of Institution:_____________________________________

Signature:_________________________________________________