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

Each year we publish a DVD with a selection of films from the festival. After the festival a copy of this DVD is posted to all participants. If your film is selected, we need your permission to include your film or music video on the "Festival Selection" DVD. It is not for sale or profit. Allshorts may also be invited to screen at other independent theatres in NZ. You can give your permission for your film to be included in other screenings. Yes, include my film on the DVD. 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. ..........................................................................