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.

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 you are under 18 (as of June 15, 2006) or are still in high school, you must submit proof of age (copy of birth certificate, school ID, driver’s license, etc.) and have a parent or legal guardian sign as well.

Signature of parent/guardian: _________________________________

Please type parent/guardian name:

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 Job Title:______________________________________________

Print Name of Institution:_____________________________________

Signature:_________________________________________________