Separate forms must be filled out for each entry. Please write legibly.

Go to the printer friendly version of the entry form HERE.

Film Title:________________________________________________________________

Original Format: ( ) Video ( ) 35mm film ( ) 16 mm film ( ) 8 mm film

Running time:________________________

Production Company: ______________________________ Year Produced: ________

Country of Origin: ____________________ Language of Film: _________________

Director's Name: ________________________________

Street Address_____________________________________________________________

City: ___________ State: __________ Zip Code/Postal Code:__________________

Country: _____________

Phone: ______________________________

Email Address:_____________________________________________________________

Writer's Name: ____________________________________

Street Address_____________________________________________________________

City: ___________ State: __________ Zip Code/Postal Code:__________________

Country: _____________

Phone: ______________________________

Email Address:______________________________________________________________

Cast: ______________________________________________________________________

___________________________________________________________________________
___________________________________________________________________________

Synopsis (please be brief): _______________________________________________

___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________

I have read and understand all the DREAM CATCHER SHORT FILM CONTEST RULES and attest to the accuracy of all information provided on this form. The film submitted is my original work and all rights to it and authority to submit it are mine.

I agree to indemnify Cloud Creek Institute For The Arts, Inc. and its agents and employees for all expenses arising out of any claims, loss or liability that may be asserted against them by third parties.

I understand that Cloud Creek Institute For The Arts, Inc. and its agents, employees, advisors and judges may be involved with other independently created films and creative works similar to the material I have submitted and I agree that I will not be entitled to compensation for those other films and creative works.

I agree to to allow Cloud Creek Institute For The Arts, Inc. to use my submitted work in a manner consistent with the delivery of all prizes due me should I be the recipient of such prizes.

Submittor_______________________________Date_________________

Submittor_______________________________Date_________________

ENTRY FEE

( ) Enclosed is a check, money order or cashier's check for $20 early entry
(before August 15, 2004)

( ) Enclosed is a check, money order or cashier's check for $25 late entry
(after August 15, 2004)

Make check, money order or cashier's check in US funds payable to:

CLOUD CREEK INSTITUTE FOR THE ARTS, INC.

Mail your check, money order, or cashier's check, this form and 2 clearly labeled VHS copies of your film to:

CLOUD CREEK INSTITUTE FOR THE ARTS
CLOUD CREEK RANCH
3767 MC 5026
ST. JOE, AR 72675

RULES
JUDGES
PRIZES
ENTRY FORM