Big Screen Showcase Entry Form

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Download and sign the Permission for Media Release Form (DOC  RTF). Then fill in the fields below, select print on your browser, and after the form prints, click the 'Submit' button. You must label your media entry with your name, movie title, category, and length and mail it with the two forms to: Big Screen Showcase, PO Box 204, Carlotta, CA 95528

Filmmaker's Name:
Filmmaker's Age:
Movie Title:
Category:	Select a Category Commercial Educational Short Documentary (under 10 minutes) Narrative Trailer Animation Experimental TYMM 2009 Focus: Community Service Other (please specify) Other:
Length:
Phone Number:
E-Mail Address:
Website:
Contact Name (first and last over 21 years):
School, Organization or Sponsor (over 21 years):
Address of School or Sponsor:	Street: City, State:
Zipcode:
Short Biography (Max 20 words):
Please enter the security code shown on the right The Security Code is not Case sensitive.