The 5 Minute Horror Bi-Annual Film Festival Entry Form

Name:
Date of Birth:
(if under 18, form must be signed by parent or guardian.)		 mm/dd/yyyy
Address:
City: State: Zip:
Primary Phone Number:
Alternate Phone Number:
Email Address:
Title of Entry:
Running Time: minutes
Brief Synopsis:
YouTube URL:
(see submission guidelines)
How did you hear about us?
By entering this festival, I assert that I am the owner of this entry, and it is my original work. I am submitting this work for review. While I understand that I retain all rights to ownership of the work, I hereby give 5 Minute Horror LLC permission to feature, advertise, display, in whole or in part, the work titled above.
Signature: Checking this box acts as my signature.
Date of Entry: mm/dd/yyyy
 
Home