2024 SUBMISSION FORM Student Name * First Name Last Name Parent Name * First Name Last Name Parent Email * Grade * Student Homeroom Teacher * Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Phone * (###) ### #### Film Information Film Title * Film Length * Directed By * Short Synopsis * Please Read Before You Submit By pressing the SUBMIT button I agree that the below listed film may be shown without limitation, in perpetuity, through any means, including the PS/IS 187 Film Festival website [www.187ff.com], and I shall not receive any compensation for my participation. I confirm that any and all material furnished by me for this program is either my own or otherwise authorized for such use without obligation to me or any third party. I also agree to the use of my name, likeness, portrait or pictures, voice and biographical information. By writing my name below, I release PS/IS 187 Film Festival and its agents from all liability that may arise from any and/or all claims by me or any third party in connection with my participation in the program(s). Thank you! We will get back to you shortly with the upload instructions.