Name: _____________________________________________________________________

Address: ___________________________________________________________________

Telephone: _________________________________________________________________

Fax: _______________________________________________________________________

Email: _____________________________________________________________________

Acting/Film School/College: _____________________________________________________

Agent/Manager:_______________________________________________________________

Have you ever been nominated for, or won a prize at a film festival? If so, list festival names and please mention if awarded prize:

____________________________________________________________________________

____________________________________________________________________________

Please also submit: - A reel of no more than three excerpts from your previous films. A winner in this category must obtain a release from the production company or companies for the screening of this excerpt.
- An acting resume and photos for publication.

List the following for each excerpt on reel:

Film Title: __________________________________________________________________

Production Company: _________________________________________________________

Name & Character Played: _____________________________________________________

Film Title: __________________________________________________________________

Production Company: _________________________________________________________

Name & Character Played: _____________________________________________________

Film Title: __________________________________________________________________

Production Company: _________________________________________________________

Name & Character Played: _____________________________________________________



A non-refundable fee of $65.00 must be enclosed along with your submitted material to confirm official entry.

Please mail to: