Application Number

Application number:

Date of delivery:

ENTRY FORM

Deadline 20 Octomber, 2017

ORIGINAL TITLE :

______

ENGLISH TITLE ______

DIRECTOR/TEAM______

TYPE OF FILM( ) fiction() documentary( ) animation

YEAR / COUNTRY OF PRODUCTION

TECHNICAL INFORMATION

format: DVD ( ) VHD Mp4 ( ) Mov.( )

length ______min (up to 30 min)

language of dialogue______

Subtitles______

CATEGORIES:

( ) PROFESIONAL SCIENTIFIC FILM(FICTION or DOCUMENTARY)

Please specify the scientific field, For example history, physics etc.

______

______

( ) FILMS BY ACADEMICS MADE TO SUPPORT AND ENRICH AN EDUCATIONAL PROCEDURE

Please specify the scientific field

______

______

( ) FILM THAT RESULTS FROM AN EDUCATIONAL PROCEDURE

For example cultural or environmental program, media literacy seminar etc.)

______

______

SCHOOL/INSTITUTION

name ______

contactperson ______

address ______

phone __ fax __ e-mail

PRODUCTION COMPANY (if any)

______

Producer______

Address______

phone ______fax ______e-mail______

Festivals at which film has been shown before

______

______

Awards ______

______

SYNOPSIS: (50 words or less)

______

______

______

______

______

EDUCATIONAL PURPOSE : (50 words or less)

______

______

______

______

______

Please attach the following materials to this entry form:

1) DVDor Flash disc

2) biography and filmography of director

3) director’s photo and stills of the film

AUTHORISATIONS:

I understand that my preview tape will be retained by the AntiThesis,2nd International Educational Film Festival

By agreement with the producer of the film being entered, I grant the festival the right to screen my film in the AntiThesis,2nd International Educational Film Festival

By agreement with the producer of the film being entered, I grant the festival the right to use a publicity still and to show on television and the worldwide web, for publicity purposes, up to 10% or one minute (whichever is less) of the running time of my production.

▪ Yes □ No

By agreement with the producer of the film being entered, the applicant (filmmaker) grants the festival the right to use, free of charge, the photographic, graphic and text materials that have been sent for the festival catalogue, website and press.

▪ Yes □ No

By agreement with the producer of the film being entered, I grant the festival the right to show the film as part of any non-commercial screenings for Academic Institutes.

▪ Yes □ No

By agreement with the producer of the film being entered, the applicant (filmmaker) grants the festival the right to show the film as part of any non-commercial post-festival.

▪ Yes □ No

I acknowledge that all decisions made by the festival programmers and judges are final.

I confirm that the information given above is correct. By entering a film I confirm that I agree to all the terms contained in the entry form and the festival statute.

Date and place: ………………………………… Signature: ……………………………………….

Please send the entry form and the documents mentioned above to address:

Spyros Siakas

5 OROPOU STR.

GALATSI, 11141

ATHENS, GREECE

Email.

Tel-Fax : +210 2930451