2009 SAN DIEGO BLACK FESTIVAL ENTRY FORM
(January 29-February 1)
YOU
MUST FIRST PRINT THIS FORM. THEN FILL IT OUT..
Have you ever screened at the San Diego Black Film Festival before? _______
If yes, when and what was the title? __________________________________________________
________________________________________________________________________________________
TITLE OF FILM
____________________________________________________________________________________
____________________________________________________________________________________
DESCRIPTION OF FILM YOU'RE ABOUT TO SUBMIT
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
CERTIFICATION OF ENTRY
I, the undersigned acknowledge and agree as follows:
(1) I have read, understood, complied with and
accept all eligibility and category
requirements as detailed in the San Diego Black Film Festival Rules of Entry.
(2) To the best of my knowledge, all of the statements in this document are true.
(3) This film is not subject to litigation nor is it threatened by any litigation.
(4) I am duly authorized to submit this film to the 2009 San Diego Black Film Festival.
(5) Indemnification: I hold the San Diego
Black Film Festival and the Black Historical
Society of San Diego, harmless from damage to or loss of this print en route or
otherwise
during the course of the festival’s possession of the film. And understand that
the
San Diego Black Film Festival is not obligated to return any film not personally
retrieved at
close of screening.
Signature (required)
__________________________________________________________________
Date: _________________
Print Your
Name:______________________________________________________________________
Film
Title:
____________________________________________________________________________
Language:
__________________________________________________________________________
Running
time (minutes): Feature __________
Short
__________ Music Video __________
Director(s)
Name(s): Male_________ Female __________
______________________________________________________________________________________
______________________________________________________________________________________
Contact address __________________________________________________________________
City/state/zip country _________________________________________________________________
Home/day
phone _____________________________________________________________________
PRODUCTION
INFORMATION
Year
of production __________
Director(s) Name(s) ____________________________________________________________________
________________________________________________________________________________________
Producer(s) Name(s) ____________________________________________________________________
________________________________________________________________________________________
Screenwriter(s) __________________________________________________________________________
________________________________________________________________________________________
Cinematographer _________________________________________________________________________
Director's day phone _____________________________________________________________________
Fax email _________________________________________________________________________________
ENTRY
FEE
$25 early $35 (After
August 30, 2008)
$60 EXTENDED DEADLINE November 30, 2008
(If
accepted for screening you will be notified by December 20, 2008)
MAIL COMPLETED FORM, FEE AND DVD TO:
SAN DIEGO BLACK FILM FESTIVAL
740 Market Street San Diego, CA. 92101