Make your own free website on Tripod.com

Lakedance Film Festival

2007

Entry Form

(Writing)

 

 

 

CATEGORY:

__ Telescript    __Screenplay _Short Story/Poem   

 

TITLE:

WRITER(s):

NUMBER OF PAGES:

 

3 LINE SYNOPSES:

_______________________________________________________________________

_______________________________________________________________________

_______________________________________________________________________ 

 

WRITER’S STATEMENT:

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

 

CONTACT INFORMATION:

NAME:_________________________________________________________________

ADDRESS:_____________________________________________________________

CITY:__________________________________________________________________

STATE:________________________________________________________________

ZIP CODE:_____________

HOME PHONE:______________

CELL PHONE:_________________

EMAIL:________________________________________________________________

 

Submissions WILL NOT BE RETURNED! 

Send your submissions to:

Lakedance Film Festival

4014 S. Wabash Avenue

Hammond, IN  46327-1219

Please Read and Sign this Release Form

As a condition of entering the LAKEDANCE FILM FESTIVAL Writing Competition I/we hereby certify that:

 

1. I/we am/are the author(s) of the screenplay/script/writing/poem which I/we have submitted to the LAKEDANCE FILM FESTIVAL Writing Competition.

 

2. I/we am/are the sole and exclusive owners(s) of all rights thereto and there are no disputes regarding ownership of the submission. I/we have full authority to submit the screenplay to the LAKEDANCE FILM FESTIVAL Writing Competition.

 

3. I/we guarantee the submitted screenplay/script/writing/poem does not invade or defame the rights of any person, living or dead, and I/we fully indemnify the LAKEDANCE FILM FESTIVAL Writing Competition against any claim made for such invasion, defamation or other violations of law.

 

4. I/we will indemnify, defend and hold harmless the LAKEDANCE FILM FESTIVAL Writing Competition, its employees, sponsors, judges, individually and  collectively, including their heirs, personal representatives, officers,  directors, successors and assigns, from and against all claims, demands,  losses, damages, costs, judgments, liabilities and expenses (including  attorney’s fees) arising out of or in connection with any and all  claims of third parties, whether or not groundless, based on any  screenplay/script/writing/poem or other materials submitted by me to the LAKEDANCE FILM FESTIVAL Writing Competition.

 

5. I/we shall be solely responsible for taking all necessary steps to establish and protect my/our copyright in the submitted material, and the LAKEDANCE FILM FESTIVAL Writing Competition.

 

LAKEDANCE FILM FESTIVAL Writing Competition shall have no obligation with respect thereto. LAKEDANCE FILM FESTIVAL Writing Competition shall have the right to reproduce all or part of said material for use in its publicity or teaching activities but shall not have the right to use said material for other commercial purposes.

 

6. I/we hereby grant LAKEDANCE FILM FESTIVAL Writing Competition the nonexclusive right to use my name, photograph, and likeness in  connection with any and all publicity and promotional activities  regarding the LAKEDANCE FILM FESTIVAL Writing Competition.

 

7. I/we understand the LAKEDANCE FILM FESTIVAL Writing Competition accepts no liability whatsoever for loss or  non-receipt of my screenplay/script/writing/poem or for the unauthorized use of all or part  of my screenplay/script/writing/poem by any person and I/we agree to remain fully liable in  connection therewith.

 

8. I/we understand that the LAKEDANCE FILM FESTIVAL Writing Competition will not return and is not obligated to return my screenplay/script/writing/poem or any other materials I/we have submitted to LAKEDANCE FILM FESTIVAL Writing Competition.

 

9. I/we understand that this is a screenplay/script/writing/poem competition, not an evaluation service and that the judges are not obligated to provide any feedback to the contestants regarding their screenplay/script/writing/poem submission/s.

 

10. I/we hereby agree to abide by the decisions of the LAKEDANCE FILM FESTIVAL Writing Competition judges with regard  to all matters and decisions, including those decisions involving their  sole discretion, relating to the LAKEDANCE FILM FESTIVAL Writing Competition.

 

11. I/we understand that the entry fee is non-refundable.

 

12. I/we have read all of the competition rules, regulations and release, understand them, and have complied with them. I/we understand that failure to adhere to the LAKEDANCE FILM FESTIVAL Writing Competition rules, regulations, and release will result in disqualification for which no refund or entry fee(s) is due.

 

Author Signature:

__________________________________

Date:

__________

 

Type or Print Name:

__________________________________

 

2nd Author Signature:

__________________________________

Date:

__________

 

Type or Print Name:

__________________________________

 

3rd Author Signature:

__________________________________

Date:

__________

 

Type or Print Name:

__________________________________