Entry Form Please send to allshorts The Village Theatre 32 Commercial Street Takaka 7110 Golden Bay by 30th Sept

Contact Name

Email Address

Title of Work

Artists (Producers, Directors, Photographers, Actors etc)

Duration

Genre and Brief Synopsis - no more than 30 words - this will appear on the programme if selected

Allshorts may be invited to screen at other independent, not for profit theatres in NZ. Do you give permission for your film to be included in other allshorts screenings? We will notify you where and when the screening will be. Yes, include my film in other screenings

Please read and sign I agree to absolve allshorts short film and music video festival from any prosecution or litigation that may arise from improper or illegal use of copyright images, music & other entertainment sources in my film/music video, I also agree to accept full responsibility for any action(s) that may arise from the presentation of above mentioned film. ..........................................................................