North Valley Regional Library Teen Film Contest Applicant Information Full Name:
Date: Last
First
M.I.
Address: Street Address
Apartment/Unit #
City
Phone:
State
ZIP Code
Age:
Entry Information Title of Entry:
Length:
Rules and Procedures 1. 2. 3. 4.
Keep all entries PG-13. This means no excessive violence or language. No nudity will be permitted. All entries must be submitted on DVD, USB, SD, or MicroSD card to be eligible Entries must be submitted with a copy of this form at the North Valley Regional Library Front Desk Entries will be judged and prizes awarded by a selected panel of teens
Disclaimer and Signature I hereby certify that the work submitted to the Maricopa County Library District was created by me and is completely original. I hereby grant the right to my name, creative works, and visual image in the Maricopa County Library District’s North Valley Teen Film Contest and Web site. Signature:
Date:
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