Registration Form

FILM original title title in Italian/English competition section year of production production Country running time original language subtitles short synopsis (1200 characters maximum including spaces)

DIRECTOR first name and surname date and place of birth e-mail telephone number website filmography

PRODUCTION/DISTRIBUTION production e-mail telephone number address distribution e-mail telephone number address

CREDITS actors film script editing sound music

If the film has participated in other festivals, please specify the name of the festival, the year and prizes received if any.

Release formsThe NAZRA Palestine Short Film Festival asks the authors (or whoever on their behalf) of the submitted work/s (max 2) to sign the following release forms:

1) Mandatory consent form for the processing of personal data in accordance with the Italian privacy laws.

I undersigned (name and surname) ………………………………………………………………………………………….allow to process my personal data

……………………………………………….(signature)

2) Mandatory consent form for the broadcasting of images and videos

I undersigned (name and surname) ………………………….…………………..……………………………………………allow to publicly screen, archive and publish photos and part of my work/s on the website www.nazrashortfilmfestival.co m

……………………………………………….(signature)

Please complete the registration form and send it with the movie link by April 30th, 2018 to the following e-mail address: nazrafilmfestival@gmail.com.

Authors participating with 2 works, in two different categories, will have to fill in and send 2 registration forms, 1 form for each work submitted.