RELEASE STATEMENT:

I have carefully read and understand the complete rules of the festival. I am an owner of the exhibition rights to the film/video being entered. If accepted, I grant permission to

Fargo Film Festival to show my film/video and to use it for promotional purposes for the 2005 Festival. I certify that the film/video entered in The Fargo Film Festival was created without the aid of any film,

broadcast or media professional other than advisory assistance. In addition, I certify that this submission was created in accordance with the guidelines for entry into The Fargo Film Festival. The Fargo Film

Festival reserves the rights to use images, sound and complete clips for promotional purposes. I have read all regulations and will honor any selection or performance decision made by festival officials. Further,

The Fargo Film Festival will not be held accountable for loss or damage of the film while in transit or during the festival presentation. The Fargo Film Festival does not assume any responsibility for the

clearance of image, story, or music copyright for films submitted. It is the sole responsibility of the submitter to present a copyright-clear submission.

Signature: ______________________________________________________________ Date: _______ / _______ / ________

Parent or Guardian (If under 18 years)

Please attach a one paragraph synopsis of your entry with submission as well as by e-mail to caity@fargotheatre.org

OTHER PUBLIC SCREENINGS, FESTIVALS AND AWARDS:

__________________________________________________________________________________________________________

PAYMENT METHOD:

MAIL ENTRIES TO:

F A R G O F I L M F E S T I V A L

314 Broadway · Fargo, ND 58102

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Check or Money Order Payable to "Fargo Film Festival" For $15

(Please do not send cash.)

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Please send me information about

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