2011 SAN DIEGO BLACK FESTIVAL ENTRY FORM
                                  (January 27-30)
 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 the above film to the 2011 San Diego Black Film
 Festival and hereby do so for screening purposes in consideration of a submission fee. 
 If my film is accepted for screening at the 2011 San Diego Black Film Festival, this shall
 constitute a binding agreement of all terms and conditions.  

 (5) Indemnification:  I hold the San Diego Black Film Festival and the San Diego Black
 Film Foundation, harmless from damage to or loss of the screening/exhibition copy
 enroute or otherwise during the course of the festival’s possession of the film.
 I understand agree that the San Diego Black Film Festival is not obligated to return
 any film not personally retrieved at the close of screening, but in any event will
 be subject to the festival's return policy.  Should any liability or damage result or
 legal action commence, stemming from the submission and/or exhibition of the
 above film, I will indemnify the San Diego Black Film Festival, San Diego
 Black Film Foundation and its affiliates, and hereby waive any claims.    
 

 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 (Money orders only.  No checks)

 Early-Bird/Fee and Deadline: $50. 
 (Must be postmarked by August 31, 2010)
 
 Regular Deadline: $75
 (Must be postmarked by October 31, 2010)

 Late Entry/Fee and Deadline:  : $85
 (Must be postmarked by November 19, 2010)

 If your film is selected to screen at the 2011 San Diego Black Film
 Festival, you will receive a call or email from us between December
 17-21, 2010.  If you do not receive a call or email, this does not
 automatically mean your film was not accepted.  Sometimes the
 notification process is delayed for various reasons.  Feel free to
 email us after December 21 to obtain the disposition of your
 submission.  If your film is selected, you will have 20 days to
 provide a DigiBeta copy of your film.  No other format will be
 accepted, so don't ask!  Your initial preview copy must be a DVD.

 MAIL COMPLETED FORM, FEE AND DVD TO:
 
 SAN DIEGO BLACK FILM FESTIVAL  
 P.O. BOX 122469
 SAN DIEGO, CA.  92112
 Make money orders payable to: San Diego Black Film Festival