Entry Form

PPSFF Submission Entry Form
Teacher’s Name(s):




School:

Phone:

Email:

Filmmakers’ names, ages, and grades at time of film production:





Film Title:


Length: ______________ Date of Completion: _______________

Describe Your Film: (Please use additional paper if necessary)







By entering your film/video into the Portland Public School Film Festival (PPSFF), you attest that you hold the rights to this work and that you, the filmmaker, teacher, and parent of minor(s), give permission for it to be screened at the PPSFF, on our website, including any modification of any of the above, in any and all media, including, without limitation, electronic media, for the purpose of advertising or promoting PPSFF or its activities. I acknowledge that such likeness, portrait, picture and/or statements will be and remain the sole property of PPSFF. Accordingly, I release PPSFF and all those acting with its authorization from any and all liability for such use.

Teacher/advisor signature:_______________________________________

Filmmaker signature:___________________________________________

Please print and submit a copy of the following consent/release form for each and every minor appearing in the submitted media.

I, as parent or guardian of the Minor, consent to the use by PPSFF, and others authorized by it, of the Minor's name, likeness, portrait, or picture and/or any statements made by the Minor at the PPSFF, and on our website, including any modification of any of the above, in any and all media, including, without limitation, electronic media, for the purpose of advertising or promoting PPSFF or its activities. I acknowledge that such likeness, portrait, picture and/or statements will be and remain the sole property of PPSFF. Accordingly, I release PPSFF and all those acting with its authorization from any and all liability for such use.

Name of Minor (printed): ____________________________________________

Name of Parent or Guardian (printed)__________________________________

Signature of Parent or Guardian_______________________________________


Date signed: ______________________

Title of submission:_____________________________________________