Ferrara Film Festival c/o Perpetuus 9822 Vidor Drive. Los Angeles, CA 90035 (USA) [email protected] PRE-SELECTION ENTRY FORM Capital letters / Compilare in stampatello. Please return the Entry Form by MAIL or E-MAIL, fully filled in and signed - Deadline April 15th 2016 Spedire l'Entry Form completo e firmato a mezzo POSTA o EMAIL - Entro e non oltre il 15 Aprile 2016 1. FILM ORIGINAL TITLE / TITOLO ORIGINALE .................................................................................................. ITALIAN TITLE / TITOLO ITALIANO (if any / se disponibile) ........................................................................... INTERNATIONAL TITLE / TITOLO INTERNAZIONALE (if any / se disponibile) ............................................... ORIGINAL LANGUAGE / LINGUA ORIGINALE ................................................................. 2016 filmmaker Entry Form for the Ferrara Film Festival 1 RUNNING TIME / DURATA ................................................................................................ FEATURE FILM / LUNGOMETRAGGIO [_]; SHORT FILM / CORTOMETRAGGIO [_]; DOCUMENTARY / DOCUMENTARIO [_]; FEATURE FILM ANIMATION / ANIMAZIONE [_]; SHORT ANIMATION / ANIMAZIONE [_]; FILM “EFFETTO CINEMA” [_]; SHORT “EFFETTO CINEMA” [_]; FILM “EMILIA ROMAGNA FILMMAKERS” [_]; SHORT “EMILIA ROMAGNA FILMMAKERS” [_] YEAR OF PRODUCTION / ANNO DI PRODUZIONE ..................................... COUNTRY OF PRODUCTION / PAESE DI PRODUZIONE...................................................................... COUNTRIES OF CO-PRODUCTION / PAESI DI CO-PRODUZIONE.................................................................. DATE OF RELEASE (day/month/year) / GIORNO DI USCITA (cinema, dvd, on-demand) in the country of production / nel paese di produzione: _ _ / _ _ /____; in Italy / in Italia: _ _ / _ _ /____ FESTIVALS WHERE THE FILM HAS BEEN, OR WILL BE, SHOWN BEFORE FERRARA FILM FESTIVAL / FESTIVAL NEI QUALI IL FILM E' STATO O SARA' PRESENTATO PRIMA DEL FERRARA FILM FESTIVAL ..................................................................................................................................................................... ..................................................................................................................................................................... PRIZES AWARDED / PREMI VINTI ..................................................................................................................................................................... ..................................................................................................................................................................... ..................................................................................................................................................................... 2016 filmmaker Entry Form for the Ferrara Film Festival 2 2. PRODUCTION and DISTRIBUTION PRODUCER and PRODUCTION COMPANY / PRODUTTORI e SOCIETA' DI PRODUZIONE Name /Nome ...................................................................................................................... Production Company / Società di Produzione ................................................................................... Address / Indirizzo ............................................................................................................................... Tel. .............................................. Fax .............................................. City / Città ............................................................ Zipcode / CAP .................. E-mail ................................................................... Country/Paese......................................................... CO-PRODUCTION Company name / Nome Società Production Company / Società di Produzione ................................................................................... Address / Indirizzo ..................................................................................................................... Tel. ........................................ Fax ........................................ City / Città .......................................................... Zipcode / CAP .................. E-mail ................................................................... Country/Paese......................................................... 2016 filmmaker Entry Form for the Ferrara Film Festival 3 WORLD SALES / VENDITE INTERNAZIONALI (if available / se disponibile) Company Name / Nome Società.................................................................................. Address / Indirizzo.................................................................................................. City / Città ............................................ Tel. ...................................................... Fax ....................................................... Country / Paese .................................... Zipcode / CAP ..................... E-mail ............................................................... DISTRIBUTION COMPANY IN ITALY / DISTRIBUTORE ITALIANO (if available / se disponibile) Address / Indirizzo ....................................................................................................... City / Città ................................................. Tel. ........................................................... Fax ........................................................... Country/ Paese ......................... Zip code/ CAP ...................... E-mail ...................................................... 2016 filmmaker Entry Form for the Ferrara Film Festival 4 3. FILMAKERS AND CREW DIRECTED BY / DIRETTO DA. Is it a first feature? / E' un'opera prima? Yes [_] No [_] First name / Nome ................................................... Surname / Cognome .............................................. City / Città ................................................................ Country / Paese ....................................................... E-mail ..................................................................... SCREENWRITER(S) / SCENEGGIATORE(I) .................................................................................................................................................................. BASED ON THE NOVEL / SHORT STORY / PLAY / BASATO SULLA STORIA / NOVELLA / LIBRO by / di ........................................................................................................................................................ DIRECTOR OF PHOTOGRAPHY / DIRETTORE DELLA FOTOGRAFIA............................................................. MUSIC SCORE / COLONNA SONORA....................................................................................................... PRODUCTION DESIGNER / SCENOGRAFO............................................................................................... EDITOR / MONTATORE............................................................................................................................. COSTUME DESIGNER / COSTUMISTA...................................................................................................... SPECIAL EFFECTS / EFFETTI SPECIALI...................................................................................................... 2016 filmmaker Entry Form for the Ferrara Film Festival 5 PRINCIPAL ACTORS and FILM ROLES / ATTORI PRINCIPALI e RUOLI ...................................................................... ......................................................................... ...................................................................... ......................................................................... ...................................................................... ......................................................................... ...................................................................... ......................................................................... ...................................................................... ......................................................................... ...................................................................... ......................................................................... ...................................................................... ......................................................................... ...................................................................... ......................................................................... ...................................................................... ......................................................................... ...................................................................... ......................................................................... Please read and sign on the following page / Si prega di leggere e di firmare sulla pagina seguente 2016 filmmaker Entry Form for the Ferrara Film Festival 6 The submission of your film through this form doesn't imply or guarantee its selection for the 1st edition of the Ferrara Film Festival. The film will be judged by the festival's program committee, which will select the titles to be included in the program. Every participant claims to: - Accept the festival's rules and regulations. - Be aware, according to the provisions of the US law, of the aims and the means of personal details processing, deliberately indicated in the attached form, and to authorize its filing into the festival's database. - Take responsibility for the content of the work submitted. Every participant commits to: - Sending a DVD / BLU-RAY (NTSC or Region 1), a USB FLASH DRIVE or a ONLINE SCREENR of the film in its original language with English subtitles (if the original language is anything other than English), which won't be returned. The copy will be kept by the Ferrara Film Festival at its disposal. If the film is selected for the festival, the Festival will inform the person in charge of its submission, using the contact information provided in the present entry form (PRODUCER), which therefore needs to be filled out properly and kept updated. ******************************************************************************************** L'iscrizione del film alla 1°edizione del Ferrara Film Festival attraverso il presente modulo non garantisce la partecipazione allo stesso. Il film sarà sottoposto all'insindacabile giudizio della Direzione Editoriale del Festival la quale decreterà liberamente ed incondizionatamente i film della selezione finale. Il sottoscritto dichiara di: - Accettare il regolamento e di non avere nulla a pretendere dal Festival. - Ai sensi degli artt. 7 e 13 del D. Leg.vo 196/03 e successive modificazioni, dichiara di essere a conoscenza delle finalità e modalità del trattamento dei dati personali, consapevolmente indicati nella presente Form, autorizzandone l'archiviazione nella banca dati del Festival. - Di rispondere per il contenuto della propria opera. Il sottoscritto si impegna a: - Inviare copia in DVD / BLU-RAY (NTSC o Regione 1), una USB PEN DRIVE o un ONLINE SCREENER del film in lingua originale con sottotitoli in inglese (se in lingua diversa dall'inglese) che non verrà restituita. La copia resterà a disposizione del Ferrara Film Festival anche oltre le date della manifestazione. In caso di selezione il Comitato Editoriale provvederà ad informare il diretto interessato responsabile dell'iscrizione del film al Festival usando i dati qui forniti che, pertanto, devono essere completi. SIGNATURE / FIRMA __________________________________ DATE / DATA _______________ 2016 filmmaker Entry Form for the Ferrara Film Festival 7