Your details :
Contact Name : ___________________________________________________
Contact email : ___________________________________________________
Contact Phone : ___________________________________________________
Film Details :
Film Title : _______________________________________________________
Directors Name/s :_________________________________________________
Producers Name/s : ________________________________________________
Film Duration : _________(Mins) ________(Seconds)
Film Genre : _____________________________
Key Cast & Crew (
Optional include heads of dept & lead actors only)
Key Cast
1. ___________________________________________ 2. ___________________________________________
3. ___________________________________________ 4. ___________________________________________
5. ___________________________________________ 6. ___________________________________________
Key Cew
1. ___________________________________________ 2. ___________________________________________
3. ___________________________________________ 4. ___________________________________________
5. ___________________________________________ 6. ___________________________________________
Synopsis (25 words or more describing your film. This is very helpful for us in the promotion of your film)
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
Press Kit Images (Please include a CD with at least 2 or 3 press kit images.)
Formats
Select the Format your Film is in :
- .dv,.mov or .avi files
- mini dv, mini dvcam or HDTV tapes
- dvcam, dvcpro or dvcpro50 tapes
- mpeg2, mpeg4 or divx files
- vhs tapes
- Other ________________________
Select the aspect ratio your film is in :
- 3:2
- 4:3
- 5:4
- 16:9
- Other ________________________
Release Agreement
I,
__________________________, am the sole person responsible to make the decision to enter this media material in the
Byron Film Club (hereafter refered to as
BFC). I understand when I fill out this entry form and thereby enter this media entry in the
BFC, that I indemnify, release, and hold harmless
BFC, its managers, employees, interns, sponsors, co-sponsors, individual and institutional supporters from any liability related to the use of my entry. I agree that all rights and permissions for any materials contained within the said entry have been granted to me and that I hold harmless
BFC from any disputes or claims that may arise from these rights and permissions granted. I further understand that by submitting my entry to
BFC, I indemnify, release and hold harmless
BFC of any responsibility and liability, for any or all damages or losses that may occur to my entry. The
BFC will make it's best endevours in assuring that the entry and it's representative will be treated with the highest respect. Both parties aknowledge that this is a non exclusive agreement and that this arrangement is at any time subject to revocation by either
BFC or the agreeing party. Six weeks notice will be required should the agreeing party choose to withdraw their entry.
Please sign either of the following agreements.
I give my permission for the
BFC to exhibit my film only at the
BFC screening on
(Date/s) ________________________
Sign here :
__________________________________I authorise
BFC to retain my entry and allow
BFC to include my entry or any part thereof for any or all promotions, compilations, screenings, broadcasts, podcasts, internet streams and exhibitions.
Sign here :
__________________________________