The Center of the World Festival
Film/Video Entry
MAIL DVD and this form
TO:
Center of the World Festival
P.O. Box 1929
Frazier Park, CA 93225
Name of Primary Applicant: __________________________________________________________
(If collaborators, each individual must complete a separate entry form)
Mailing Address: ___________________________________________________________________
City:
Voice phone #: _______________________________________ Fax: _________________________
Email:_______________________________ other tel #: ____________________________________
PLEASE NOTIFY US OF ANY CHANGES IN YOUR MAILING ADDRESS OR PHONE NUMBERS.
Title of Video: ________________________________________________________________________
Brief Bio of Applicant: _______________________________________________________________
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By submitting this entry form, you acknowledge that this is a competition for amateur videographers.
Why do you consider yourself an "Amateur"?: ______________________________________________
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How did you hear about this Contest?
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By signing below, I certify that this is an original film/video to which I hold all copyrights and full ownership.
_____________________________________________________________________________________
Printed Name of signer: _________________________________________________________________
If under 18 years of age, parent/guardian signs above. Give following information:
Minor’s Name:______________________________________ Minor’s Date of Birth: _______________
initial here:
_______ DVD is enclosed.
_______ $10 suggested donation is enclosed, payable to Center of the World Festival
_______I have read and accept the submission rules