CINE - Competition Forms

*Indicates mandatory field

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Title of Entry*

Contact Person*

First Name:

Middle Initial:

Last Name:

I am the*

Producer

Network / Distributor Rep

School Rep

Other (please specify)

Organization or School*

If student, specify grade or program

Entrant Address*

City*

State*

Country*

Zip/Postal Code*

Phone (daytime)*

Fax

E-Mail*

(Entrant should understand that for winning programs to be included in CINE showcases or other promotional and educational programs, specific rights may need to be provided.)

Name and contact info. of organization or person who holds rights to this program

Name

Phone number

Purpose & Audience* — Very important to the judging process. Please explain in 300 characters or less why this work was produced or what you hope to accomplish and who is the intended audience.

characters left

Summary* — Briefly describe your production in 300 characters or or less.
characters left

Production Company, Sponsor, Client or School(if not listed above)

Contact Name

Organization or School

Address

City

State

Zip Code

Phone

E-Mail

Credits:
Name			Credit/Role
Name			Credit/Role
Name			Credit/Role
Name			Credit/Role