| All works submitted for Superfest
2005 must be on the subject of disability. Works must have been produced since January 1, 2000 Works must be postmarked by January 31, 2005 See our website for a list of awards presented, and for frequently asked questions. |
||||||||||||||||||||||||||
| Media Title: | ||||||||||||||||||||||||||
| Director: | ||||||||||||||||||||||||||
| Producer: | ||||||||||||||||||||||||||
| Contact: | Who to contact in case of questions regarding the entry | |||||||||||||||||||||||||
| Distributor: | ||||||||||||||||||||||||||
| The Spirit of Superfest award is given to a strong work in which a person with a disability has significant role in producing the film. Are you eligible for this award? | ||||||||||||||||||||||||||
| Writer has a disability? | Director has a disability? | Producer has a disability? | ||||||||||||||||||||||||
| The Superfest Emerging Artist Award is given to an unrecognized, but promising talent in media-making. To be eligible for this award, an entrant must have not yet received any awards for her/his | ||||||||||||||||||||||||||
| work. | Are you eligible for this award? | |||||||||||||||||||||||||
| Release Date: | ||||||||||||||||||||||||||
| Original Format: | Running Time: | |||||||||||||||||||||||||
| Submitted Format: | Acceptable: VHS, Audio Casette | |||||||||||||||||||||||||
| Submitted Access: | Open Caption | Closed Caption | Audio Described | |||||||||||||||||||||||
| Submitted Language: | Dubbed to English | |||||||||||||||||||||||||
| Available Formats: | ||||||||||||||||||||||||||
| Available Extras: | ||||||||||||||||||||||||||
| Available Languages: | ||||||||||||||||||||||||||
| Purchase Price: | ||||||||||||||||||||||||||
| Rental Price: | ||||||||||||||||||||||||||
| Audience: | General public | People with Disabilities | ||||||||||||||||||||||||
| Health Professionals | Educators | Friends of People w/… | ||||||||||||||||||||||||
| Adults | Teens | Children | ||||||||||||||||||||||||
| Other: | ||||||||||||||||||||||||||
| Content: | (50 words or fewer, exactly as you want it to appear in the catalog) | |||||||||||||||||||||||||
| Entry Fees: | ||||||||||||||||||||||||||
| 30 Minutes or less | $60.00 | } | ||||||||||||||||||||||||
| Over 30 minute | $90.00 | |||||||||||||||||||||||||
| Early bird | (postmarked before January 15, 2005) | -$10.00 | } | - | ||||||||||||||||||||||
| Shoestring budget | -$20.00 | |||||||||||||||||||||||||
| (Total budget less than $10,000 and self-distributing) | Total | = | 0.00 | |||||||||||||||||||||||
| Legal Stuff: | (Please read carefully then sign and date below) | |||||||||||||||||||||||||
| I understand that when I fill out this entry form and thereby enter the media (hereafter called entry) in Superfest, that I indemnify, release and hold harmless Superfest, its manager, sponsors, cosponsors, individual and institutional supporters (hereafter called the Media Festival) from any liability related to the use of my entry. I understand that in sending my entry to Superfest, I indemnify, release and hold harmless the Media Festival of any damage or loss that might happen to my entry. I am the person responsible for making the decisions to enter this media material in Superfest and give my permission to the Media Festival to exhibit my entry at Superfest events that include, but are not limited to, preview exhibitions and showings over cable television. If my entry is an award winner, I give my permission to exhibit my entry at the various screenings of the award wining entries and authorize CDT to retain my entry for up to one year if it is selected for a major Superfest award. | ||||||||||||||||||||||||||
| Print your name here: | Date: | |||||||||||||||||||||||||
| Sign your name here: | ||||||||||||||||||||||||||
| Checklist: | ||||||||||||||||||||||||||
| Complete all 3 pages of this entry form | ||||||||||||||||||||||||||
| Check totals and information on entry form | ||||||||||||||||||||||||||
| Check that entry was produced on or after January 1st, 2000 | ||||||||||||||||||||||||||
| Check that media is in an acceptable format | ||||||||||||||||||||||||||
| (VHS tape in NTSC format or Audio cassette - no PAL please!) | ||||||||||||||||||||||||||
| Check that record tabs are removed on media | ||||||||||||||||||||||||||
| (We haven't had any mistakes yet, and we'd like to keep it that way!) | ||||||||||||||||||||||||||
| Place the entry in a hard case for shipping | ||||||||||||||||||||||||||
| (We have had entries damaged in shipping though - it wasn't pretty...) | ||||||||||||||||||||||||||
| Place entry, entry form, entry fee, and a return label & postage in a shipping container. (We recommend a box rather than an envelope) | ||||||||||||||||||||||||||
| { | CDT / Superfest Entry | |||||||||||||||||||||||||
| Address the package to: | P.O. Box 1107 | |||||||||||||||||||||||||
| Berkeley, CA 94701-1107 | ||||||||||||||||||||||||||
| Write your return address clearly on the label | ||||||||||||||||||||||||||
| Send it in, and wait for the results! | ||||||||||||||||||||||||||
| (If you would like e-mail confirmation, send a request to superfest@aol.com) | ||||||||||||||||||||||||||
| Media Return: | ||||||||||||||||||||||||||
| At the end of the festival, how would you like us to handle the media? | ||||||||||||||||||||||||||
| Archive the media for the future. | ||||||||||||||||||||||||||
| (If we wish to use your work in the future, we will contact you first.) | ||||||||||||||||||||||||||
| Destroy the media upon completion. | ||||||||||||||||||||||||||
| Return the media to the entrant. | ||||||||||||||||||||||||||
| (Please include a return address label and return postage.) | ||||||||||||||||||||||||||
| Addresses: | Fill out as many of the address entries as necessary. Return to determines which address (if any) the media is returned to. Catalog determines which contact info should go in the Superfest catalog with the description. Only one address should be checked for each of the Contact, Return to, and Catalog entries. | |||||||||||||||||||||||||
| Street Address: | Director | |||||||||||||||||||||||||
| Producer | ||||||||||||||||||||||||||
| Distributor | ||||||||||||||||||||||||||
| City | State | Zip | Contact | |||||||||||||||||||||||
| Phone# | Country | Return to | ||||||||||||||||||||||||
| E-mail: | Catalog | |||||||||||||||||||||||||
| Web site: | ||||||||||||||||||||||||||
| Street Address: | Director | |||||||||||||||||||||||||
| Producer | ||||||||||||||||||||||||||
| Distributor | ||||||||||||||||||||||||||
| City | State | Zip | Contact | |||||||||||||||||||||||
| Phone# | Country | Return to | ||||||||||||||||||||||||
| E-mail: | Catalog | |||||||||||||||||||||||||
| Web site: | ||||||||||||||||||||||||||
| Street Address: | Director | |||||||||||||||||||||||||
| Producer | ||||||||||||||||||||||||||
| Distributor | ||||||||||||||||||||||||||
| City | State | Zip | Contact | |||||||||||||||||||||||
| Phone# | Country | Return to | ||||||||||||||||||||||||
| E-mail: | Catalog | |||||||||||||||||||||||||
| Web site: | ||||||||||||||||||||||||||
| For any other questions, please contact us at superfest@aol.com | ||||||||||||||||||||||||||