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"?:  ______________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

How did you hear about this Contest?

_____________________________________________________________________________________

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

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