Submit Film

Films Should Only Be Submitted by Lead Producer.

Film
Film Title*
One-line Summary (for the Home Page)*
Longer Description (for your individual Film Page — feel free to repeat your One-line Summary above)*
Video URL (example: http://vimeo.com/544fy53)*
Video Password (if private)
Upload Still Film Image*

640 x 360px recommended size, JPG, PNG or GIF files, 5MB or less.
Lead Producer

(will remain private)
Personal Info (for office use only, not to be published online.)
First name*
Middle Initial
Last Name*
Contact Info (for office use only)
Street Address*
City*
State*
Zip*
Email Address*
Phone Number*
Date of Birth (for office use only)
*
Director
First Name*
Middle Initial
Last Name*
Contact Info (for office use only, not to be published online.)
Street Address*
City*
State*
Zip*
Email Address*
Phone Number*
Date of Birth (for office use only)
*
Short Bio*
Public Website URL (optional)

Optional
School of Institution affiliation (optional)
Upload Director Photo*

JPG, PNG or GIF files, 5MB or less.
Terms of Service
*
- I own or have licensed all rights to this film and have read the Terms of Service
- I affirm that the submitted film is under 30 minutes in length.
*
- I have read and agree to the Competition Rules & Guidelines, and I hereby enter the contest.
- true
If any producer or director is under age 18 (19 in AL or DE, 21 in MS),

— check here
— have a parent/guardian sign this consent form for each minor
— upload a scan/pdf here.
Parental Consent Form

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Living with Alzheimer's Film Project