Registration Form

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The registration fee of $50.

00 and is due when with registration form on or


before Friday October 12, 2007. Your registration form and fee can be
dropped off at 124 Water St. (Sirens) everyday after 7:00 pm.

A A A

Please list the names of your team-members:


(note: you may have up to 10 members on your team including your team liaisons)

NAME ROLE BIRTH DATE

01

02

03

04

05

06

07

08

09

10
Please list below the primary contact person for your team. This person will serve as your
team’s liaison to the competition. Please included a secondary contact person incase your
primary contact cannot be reached.

Team Name: __________________________________________________________

A A A

Primary Contact Person: ____________________________________________________________________________

Phone: ___________________________________________ E-Mail: _ _______ ______ ______ ______ ______ ______ ______ _____
Address: ____________________________________________________________________________________________________________
____________________________________________________________________________________________________________

By signing below, I (the undersigned) am indicating that I have read and understand the competition rules and regulations as
specified by the “48 hour FILM FESTIVAL of the DEAD”. Furthermore, I release the”48 hour FILM FESTIVAL of the DEAD” from any
and all liability due to loss of property or injury that may occur as a result from taking part in this competition. I take full responsibility
for the film’s contents and actions of the filmmakers. I understand that any violation of the rules and regulations will be cause for
disqualification from the competition.

Sign: ______________________________________________ Date: ___________________________________________________

A A A

Secondary Contact Person: __________________________________________________________________________

Phone: __________________________________________ E-Mail:


_____ ______ ______ ______ ______ ______ ______ ______ ______
Address: ______________________________________________________________________________________________________________
______________________________________________________________________________________________________________

By signing below, I (the undersigned) am indicating that I have read and understand the competition rules and regulations as
specified by the ”48 hour FILM FESTIVAL of the DEAD”. Furthermore, I release the”48 hour FILM FESTIVAL of the DEAD” from any
and all liability due to loss of property or injury that may occur as a result from taking part in this competition. I take full responsibility
for the film’s contents and actions of the filmmakers. I understand that any violation of the rules and regulations will be cause for
disqualification from the competition.

Sign: __________________________________________________ Date: __________________________________________________

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