Page # 1-2 Naitin Luthei King, }i.

Family 0utieach Centei

NLK BAY FILN C0NTEST
REuISTRATI0N F0RN


"#$% &$%#' ((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((


Team Leauei:____________________________________________________ENAIL:_______________________________________

Phone Numbei: ___________________________________Alteinate Phone Numbei:________________________________

"#$% %#%)#*+ , -.#$+# -*/&"'


NANE:_____________________________________________ ENAIL:_________________________________________


NANE:_____________________________________________ ENAIL:_________________________________________


NANE:_____________________________________________ ENAIL:_________________________________________


NANE:_____________________________________________ ENAIL:_________________________________________


Iwe have ieau anu agiee to all iules nameu "0FFICIAL R0LES 0F TBE NLK Bay Film Contest" anu I, all teams membeis, actois, piouuceis,
uiiectois, giips oi anyone associateu with above nameu team will abiue by saiu iules. Iwe unueistanu that failuie to abiue by all iules may
be giounus foi immeuiate expulsion of the entiie team fiom The NLK Bay Film Contest anu the film will not be accepteu as an entiy into the
competition.

Iwe unueistanu that we aie enteiing into a competition foi a chance to win, N0T a guaiantee. Iwe unueistanu enteiing into this
competition is 1uu% voluntaiy anu I anuoi membei(s) of the team expect N0 compensation oi ieimbuisement foi any laboi anuoi costs
associateu with the piouuction of the film piouuceu foi this competition.

The Naitin Luthei King, }i. Family 0utieach Centei may shaie the emails of the team leauei anu team membeis with sponsois of the event
only. The Centei will not sell any email pioviueu foi any monetaiy compensation.

Iwe will follow all local, state & feueial laws, iules anu iegulations.

I/We authorizes The Martin Luther King, Jr. Family Outreach Center the use of my/our image captured in photographs or videos as well as the
aforesaid film and all its components in conjunction with the film production created and accepted for submission by The MLK Center in any manner
they deem fit including, but not limited to, the purpose of advertising and usage in other media productions directly and indirectly related to The
Center.

The team leauei accepts full iesponsibility foi all team membeis not available anuoi willing to sign this entiy foim anu the content within it
anu the 0fficial Rules of The NLK Bay Film Contest.

IWe accept the fact that IF the team wins a piize oi money the team leauei accepts full iesponsibility foi the uisbuisement of any piize
money, piize etc. The Naitin Luthei King, }i. Family 0utieach Centei will give the piize oi piize money to the Team Leauei 0NLY. The Centei
will accept ZER0 iesponsibility as to the uisbuisement of piizes oi piize money among team membeis.

I unueistanu as team leauei that I will be fully iesponsible foi all team membeis signing this entiy foim. As team leauei, I will ensuie that all
membeis of the team, actois anu anyone else assisting with piouuction knows, follows, anu unueistanus all iules. I fuitheimoie unueistanu
that all content on this entiy foim become iules of The NLK viueo Essay Contest.

I/We also identify The Martin Luther King, Jr. Family Outreach Center and The MLK Video Essay Contest, all of its partners, members, managers,
clients, sponsors, guests and successors, and hold them harmless from and against any liability, penalty, interest, loss, claim, demand, cost and/or
expense resulting from completion of the film or caused by my/our gross negligence and/or willful misconduct.

Liability & Bolu Baimless Agieement:

Page # 2-2 Naitin Luthei King, }i. Family 0utieach Centei

1. In consiueiation foi ieceiving peimission to paiticipate in The NLK Bay Film Contest, I heieby RELEASE, WAIvE, BISCBARuE, ANB
C0vENANT N0T T0 S0E The Naitin Luthei King, }i. Family 0utieach Centei anu the NLK Bay Flm Contest, its affiliates, theii membeis,
manageis, consultants, theii officeis, agents, oi employees (heieinaftei iefeiieu to as RELEASEES) fiom any anu all liability, claims,
uemanus, actions, anu causes of action whatsoevei aiising out of oi ielateu to any loss, uamage, oi injuiy, incluuing ueath, that may be
sustaineu by me, oi to any piopeity belonging to me, while paiticipating in such activity, while in, on oi upon the piemises wheie the
activities aie being conuucteu, REuARBLESS 0F WBETBER S0CB L0SS IS CA0SEB BY TBE NEuLIuENCE 0F TBE RELEASEES, oi otheiwise
anu iegaiuless of whethei such liability aiises in toit, contiact, stiict liability, oi otheiwise, to the fullest extent alloweu by law

2. I am fully awaie of the iisks anu hazaius connecteu with the activities associateu with this film festival contest, anu I am awaie that such
activities incluue the iisk of injuiy anu even ueath, anu I heieby elect to voluntaiily paiticipate in saiu activities, knowing that the activities
may be hazaiuous to my piopeity anu me. I unueistanu that The Naitin Luthei King, }i. Family 0utieach Centei uoes not iequiie me to
paiticipate in this activity. I voluntaiily assume full iesponsibility foi any iisks of loss, piopeity uamage, oi peisonal injuiy, incluuing ueath,
that may be sustaineu by me, oi any loss oi uamage to piopeity owneu by me, as a iesult of being engageu in such an activities, WBETBER
CA0SEB BY TBE NEuLIuENCE 0F RELEASEES oi otheiwise, to the fullest extent alloweu by law

S. I fuithei heieby AuREE T0 INBENNIFY ANB B0LB BARNLESS the RELEASEES fiom any loss, liability, uamage, oi costs, incluuing couit
costs anu attoineys' fees that Releases may incui uue to my paiticipation in saiu activities, WBETBER CA0SEB BY NEuLIuENCE 0F
RELEASEES oi otheiwise, to the fullest extent alloweu by law.

4. It is my expiess intent that this Waivei anu Bolu Baimless Agieement shall binu the membeis of my family anu spouse, if I am alive, anu
my heiis, assigns anu peisonal iepiesentative, if I am ueceaseu, anu shall be ueemeu as a RELEASE, WAIvER, BISCBARuE, ANB C0vENANT
N0T T0 S0E the above-nameu RELEASEES. I heieby fuithei agiee that this Waivei of Liability anu Bolu Baimless Agieement shall be
constiueu in accoiuance with the laws of the State of Washington anu that any meuiation, suit, oi othei pioceeuing must be fileu oi enteieu
into only in Washington anu the feueial oi state couits of Washington oi Spokane County Supeiioi Couit. Any poition of this uocument
ueemeu unlawful oi unenfoiceable is seveiable anu shall be stiicken without any effect on the enfoiceability of the iemaining piovisions.

IN SIuNINu TBIS AuREENENT, I ACKN0WLEBuE ANB REPRESENT TBAT I have ieau the foiegoi ng Wavi ei of Li abi l i ty
anu Bol u Baiml ess Agieement, unueistanu i t anu si gn i t vol untaii l y as my own fiee act anu ueeu; no oial
iepiesentati ons, statements, oi i nuucements, apait fiom the foiegoi ng wii tten agieement, have been maue; I am at
l east ei ghteen (18) yeais of age anu ful l y competent; anu I execute thi s Agieement foi ful l , auequate anu compl ete
consi ueiati on ful l y i ntenui ng to be bounu by same.

I heieby accept anu unueistanu the above infoimation anu iules;




_______________________________________________________
TEAN LEABER SIuNAT0RE BATE

_______________________________________________________
u0ARBIAN SIuNAT0RE IF 0NBER 18 BATE


_______________________________________________________ _______________________________________________________
TEAN NENBER SIuNAT0RE BATE TEAN NENBER SIuNAT0RE BATE

_______________________________________________________ _______________________________________________________
u0ARBIAN SIuNAT0RE IF 0NBER 18 BATE u0ARBIAN SIuNAT0RE IF 0NBER 18 BATE


_______________________________________________________ _______________________________________________________
TEAN NENBER SIuNAT0RE BATE TEAN NENBER SIuNAT0RE BATE

_______________________________________________________ _______________________________________________________
u0ARBIAN SIuNAT0RE IF 0NBER 18 BATE u0ARBIAN SIuNAT0RE IF 0NBER 18 BATE



_______________________________________________________ _______________________________________________________
TEAN NENBER SIuNAT0RE BATE TEAN NENBER SIuNAT0RE BATE



Page # S-2 Naitin Luthei King, }i. Family 0utieach Centei


NLK BAY FILN C0NTEST
0FFICIAL R0LES
Email jmyeismlkspokane.oig
Phone Su9.4SS.8722 ext.2u2
Web facebook.commlkspokane (see event)

-0*-1+#' Celebiate NLK BAY 2u14 by cieating a shoit film to honoi the legacy anu life of Bi. King - one
of justice, equality anu peace foi all

122/3/$. *0.#+'

PARTICIPANTS:
This film competition is open to all high school anu college (18-24) stuuents. 0thei ages may actappeai
in the film, but all othei cieatois must be in the legal paiticipating age gioup.

S0BNISSI0N:
Submit youi woik of ait on a BvB oi thumb uiive as a .mov (Quicktime) file to the The Naitin Luthei
King, }i. Family 0utieach Centei 45 6789: 8;74 < -% 54 =74> ?
:@
. Late entiies. Soiiy, no can uo. Please
save youi file as "film title_team name.mov" (ex. Nlkcelebiation_stellaifilms.mov) Entiies may be
ueliveieu in peison at oi maileu to:

Naitin Luthei King, }i. Family 0utieach Centei
ATTN: viueo Essay Contest Submission
84S S Sheiman St.
Spokane, WA 992u2

Theie's a bit of impoitant papeiwoik to tuin in with youi film, so please make suie you check off all the
ciicles on the submission checklist to make suie you get all the iight papeis filleu out anu tuineu in on
time.

C0NTENT:
Each entiy must incoipoiate Bi. King's philosophy anu piinciples of equality, justice anuoi peace into an
oiiginal composition.

The NLK Bay Film Contest oiganizeis ieseive sole uiscietion to ueciphei iatings baseu on the guiuelines
posteu in these official iules.

In keeping with Bi. King's message of inclusiveness, social anu iacial justice, anu iespect foi the uignity of
otheis, submissions that incluue piofanity anuoi language inconsistent with Bi. King's philosophy will
be uisqualifieu.

$66 AB6CD CED8 F9 G :789@ AB6CD.
A u iateu movie contains nothing that woulu offenu paients foi viewing by chiluien. Such films may
contain only milu fantasy violence oi milu ciuue humoi. Such films have no nuuity, sex oi uiugs of any
kinu. Alcohol anu tobacco may be useu in small amounts by auults in the movie, but not by minois. The
violence must be caitoonish in natuie anuoi minimal in quantity, anu it is up to the oiganizeis of the
competition to ueteimine whethei content is appiopiiate. Inappiopiiate content of any natuie may
uisqualify the film fiom the competition at the sole uiscietion of the competition officials anu oiganizeis.

Page # 4-2 Naitin Luthei King, }i. Family 0utieach Centei


A film containing any of the following may be uisqualifieu: any mateiial that constitutes libel, slanuei,
invasion of piivacy oi public iights, unfaii competition, a lotteiy oi any auveitisement of oi infoimation
conceining any lotteiy, comments oi actions aimeu at uispaiaging one gioup of people in a way that
might encouiage hate oi violence, violation of tiauemaik iights oi copyiight, oi any violation of local,
state oi feueial law. It will be at the sole uiscietion of the oiganizeis of the competition to ueteimine
whethei these guiuelines have been violateu.

RELEASESC0PYRIuBTS:
Any actois in the film must sign a talent ielease, which must be submitteu with the film. 0sing music in
youi film. uieat! }ust make suie eithei 1) the music is an oiiginal cieation by you oi 2) you have a signeu
music waivei fiom the cieatoi of the music useu. The same goes foi locations. the ownei of the
piopeity must sign a location agieement pioviuing cleaiance to useshow it in the film.

}0BuINu:
The NLK Bay Film Contest juuging panel will juuge all eligible films on message, cieativityoiiginality,
accuiacy anu inclusion of Bi. King's life anuoi the message foi which he stoou, technical execution, anu
oveiall impiession. Winneis will be announceu online via the Facebook event page anu contacteu via
emailphone.

PRIZES:
You bet we have swag involveu. anu it's CASB at that! Piizes will be awaiueu in two uivisions: Bigh
School anu College. Fiist place will pocket $Suu, Seconu place $1Su, anu thiiu place $7S. Winning teams
in each uivision will each also ieceive two complimentaiy tickets to the King Bay Youth Empoweiment
Luncheon on }an. 18
th
at Shaule Paik Bigh School to be iecognizeu foi theii achievements, collect piizes,
anu see theii films on the big scieen.

C0NTACT:
Please contact }oni Neyeis, Community 0utieach Cooiuinatoi at the NLK Centei foi questions anuoi
claiifications. (Info listeu at top)





















Page # S-2 Naitin Luthei King, }i. Family 0utieach Centei

NLK BAY FILN C0NTEST
S0BNISSI0N CBECKLIST

PLEASE check (anu uouble-check) this list befoie submitting youi film anu papeiwoik to the NLK
CENTER BY }AN. S
iu


o Team iegistiation:
Nake suie you assigneu a team leauei anu list membeis of youi team. This uoesn't necessaiily
have to be eveiyone in the film, just the main cieatois.

o Locations Agieement:
Biu you film on piivate piopeity. Bave the ownei sign a locations agieement

o Nusic Release:
If you useu any music you uiun't oiiginally cieate please have the cieatoi sign the music ielease

o Talent Release:
Any actoi appeaiing in the film must sign a talent ielease. (Except ciowu scenes anu extias, but
please make suie you post the "ciowu ielease" sign while filming such scenes.) uuaiuians must
ALS0 sign foi talent unuei 18.

o LogoAit Release
If you showfocus on a logoaitwoik you uiun't cieate get a ielease signeu by the cieatoi

o Film is S-S minutes in length incluuing cieuits

o Follows oveiall theme: Bonoiing Bi. King anu his legacy of justice, equality, anu peace

o Submitteu on a BvB oi thumb uiive in .mov foimat anu saveu as (movie title_team name.mov)






















Page # 6-2 Naitin Luthei King, }i. Family 0utieach Centei

!"# %&' ()"! *+,-./-
-&".,- 0.".&/.

Foi goou anu valuable consiueiation, the ieceipt anu sufficiency of which acknowleuge having
alieauy ieceiveu, I heieby giant my consent to be photogiapheu oi otheiwise iecoiueu (i.e., still photos,
viueo, film oi otheiwise) to be useu in the motion pictuie piesently entitleu "_________________________" (the
"Pictuie"), anu giant to the Pictuie, its successois anu assigns the iight, but not the obligation, to use my
name, voice, biogiaphy anu likeness, in any anu all meuia (whethei now known oi heieaftei ueviseu)
thioughout the woilu in peipetuity. I heieby ielease the Pictuie, its successois anu assigns fiom all
claims anu uemanus in connection with my paiticipation heieunuei. I heieby acknowleuge anu agiee
that the Pictuie shall have the iight to assign all oi any poition of this agieement without limitation anu
that I shall have no equitable iemeuies heieunuei, incluuing without limitation, the iight to enjoin the
piouuction, piomotion, auveitising, uistiibution oi exploitation of the Pictuie.


Bate:______________________

__________________________
Peifoimei's signatuie

__________________________
Piint Peifoimei's name

IF TBE PERS0N SIuNINu IS 0NBER TBE AuE 0F 18, TBEN TBE PARENT 0F 0R LEuAL u0ARBIAN F0R
S0CB PERS0N N0ST ALS0 SIuN BEL0W.

I heieby waiiant that I am the paient of anuoi the legal guaiuian foi the peison who signeu above, that I
have ieau anu unueistoou the foiegoing, that I have causeu saiu peison to sign above, that I will
inuemnify the Pictuie against any anu all claims, liability cost anu expense iespecting the foiegoing in the
event of any bieach by the Pictuie, anu that, knowing of youi ieliance heiein, I agiee to cause saiu peison
to auheie to all of the teims above.



__________________________________ Bate:________________________
Paientuuaiuian's Signatuie

___________________________________
Piint Paientuuaiuian's Name













Page # 7-2 Naitin Luthei King, }i. Family 0utieach Centei

.13$"/1& $G*##%#&"

(_________________________________________________)
Name of Pioject

This Agreement (Agreement) is entered into as of ____________________, by and between -
______________________________________(Company) and
_____________________________________(Grantor).

1. IDENTITY OF LOCATION. Grantor hereby agrees to permit Company to use the property
located at _____________________________________________in connection with the motion picture
currently entitled _______________________________________ (the Picture) for rehearsing,
photographing, filming and recording scenes and sounds for the Picture. Company and its licensees, sponsors,
assigns and successors may exhibit, advertise and promote the picture or any portion thereof, whether or not
such uses contain audio and/or visual reproductions of the Property and/or any related logo(s) and trademark(s),
and whether or not the Property and/or any related logo(s) and trademark(s) is identified, in any and all media
now know or hereafter devised in all countries of the world throughout the universe and in perpetuity.

2. RIGHT OF ACCESS. Company shall have the right to bring personnel and equipment
(including props and temporary sets) onto the Property and to remove same after completion of its use of the
Property hereunder. Company shall have the right, but not the obligation, to photograph, film and use in the
Picture the actual name, if any, and/or any related logo(s) and trademark(s) connected with the Property, or any
other name for the Property. If Company depicts the interior(s) of any structures located on the Property,
Grantor agrees that Company shall not be required to depict such interior(s) in any particular manner in the
picture.

3. ALTERATIONS TO PROPERTY. Company hereby agrees that (with Grantors permission) if
it becomes necessary to change, alter, or rearrange any equipment on the Property belonging to Grantor, or the
appearance of the Property belonging to the Grantor, Company shall return and restore said equipment to its
original place and condition, or repair it, if necessary, and, if applicable, restore the appearance of the Property
to its original condition.

4. GRANTORS REPRESENTATIONS AND WARRANTIES. Grantor warrants that it has the right
and authority to enter into this Agreement and to grant the rights granted by it herein. Grantor agrees to
indemnify, defend, and hold harmless Company from and against any and all claims relating to breach of its
aforesaid warranty. Company agrees to indemnify Grantor from and against any and all liabilities, damages,
and claims of third parties arising from Companys use of the Property, unless such liabilities, damages, or
claims arise from Grantors breach of any of Grantors warranties as set forth herein, and from any physical
damage to the Property proximately caused by Company or any of its representatives, employees, or agents.

5. RELEASE. Grantor releases and discharges Company, volunteer cast and crew, The Martin
Luther King, Jr. Family Outreach Center and partners, members, manager, licensees, successors and assigns
from any and all claims, demands or causes of action that Grantor may now have, or may later have, including
without limitation, with respect to libel, defamation, invasion of privacy or right of publicity, infringement of
copyright or violation of any other right arising out of or relating to any use of the rights granted herein.

6. INDEMNITY. Company hereby agrees to defend, indemnify and hold harmless Grantor from
and against any liability, penalty, interest, loss, claim, demand, cost (including reasonable outside attorney
fees), or expense resulting from Companys use of the Property which does not relate to or result of Grantors or

Page # 8-2 Naitin Luthei King, }i. Family 0utieach Centei

any of the Grantors employees, independent contractors, invitees, vendors and/or agents gross negligence
or willful misconduct.

7. ASSIuNENTLENBINu. Company may assign this Agieement, in whole oi in pait, at any
time to any paity foi the puipose of auveitising anu exploiting of the TBE NLK BAY FILN C0NTEST oi
TBE NARTIN L0TBER KINu, }R. FANILY 00TREACB CENTER, events cieateu in the futuie on the behalf
of the paitneis, affiliates, sponsois, membeis anuoi manageis of TBE NARTIN L0TBER KINu, }R.
FANILY 00TREACB CENTER anu the Pictuie cieateu, as a submissions of the foiesaiu festival oi as
submission to any futuie film festivals not connecteu to TBE NARTIN L0TBER KINu, }R. FANILY
00TREACB CENTER.

Grantor may not assign all or any of Grantors rights and/or obligations hereunder.

The undersigned represents that he/she is empowered to execute this Agreement for Grantor.

IN WITNESS WHEREOF, the parties have hereunto set their names and signatures as of the date first
mentioned above.


By

Its
An Authorized Signatory

____________________________________
The Picture

By

Its

























Page # 9-2 Naitin Luthei King, }i. Family 0utieach Centei

Music Rights Agreement
H(((((((((((((((((((((((((((((I

Licensoi: __________________________________________________
Auuiess: __________________________________________________
City, State: ________________________________________________

This Synchionization License Agieement (License) is maue anu enteieu into this ______ uay
of ______________, by anu between _______________________ (Licensoi), iepiesenting the
peifoimei __________________, anu makeis of the movie ________________________ (Licensee).

1. Licensoi giants to Licensee the nonexclusive, iiievocable iight, license, piivilege anu
authoiity to iecoiu (on film oi viueotape) anu use the musical compositions anu
iecoiuings entitleu "___________________________! in synchionization oi timeu ielation with the
film piouuction cuiiently entitleu "_________________________".

2. Licensoi authoiizes the movie ________________________ to use oi cause to be useu the
afoiesaiu musical compositions anu iecoiuings in conjunction with the afoiesaiu film
piouuction in any mannei they ueem fit incluuing, but not limiteu to, the puipose of
auveitising anu exploiting saiu film piouuction anu The Naitin Luthei King, }i. Family
0utieach Centei anu the NLK Bay Film Contest, events cieateu in the futuie on the behalf
of the paitneis, affiliates, sponsois, membeis, anuoi manageis of The Naitin Luthei King,
}i. Family 0utieach Centei, as well as submissions of the foi saiu film piouuction cieateu
foi The NLK Bay Film Contest to futuie film festivals not connecteu to The Naitin Luthei
King, }i. Family 0utieach Centei.

S. Licensoi heieby iepiesents anu waiiants that heshe has the full legal iight, powei anu
authoiity to giant this license anu that the peifoimance iights to the afoiesaiu musical
compositions anu iecoiuings aie available foi license thiough ASCAP, BNI, oi SESAC.

Bate______________ Bate______________


Signatuie_______________ Signatuie _______________
Licensoi Licensee












Page # 1u-2 Naitin Luthei King, }i. Family 0utieach Centei

AUTHORIZATION TO USE NAME LOGO/ARTWORK

This will confiim that, foi goou anu valuable consiueiation, the ieceipt anu sufficiency of which is heieby
acknowleugeu, the unueisigneu ("I"), having the sole iight to uo so, giants to ____________________________. ("Pictuie")
anu its successois, assignees anu licensees the iight, but not the obligation, to photogiaph, iecoiu, iepiouuce oi
otheiwise use the below-mentioneu piouuct, incluuing all names, tiauemaiks, seivice maiks, tiaue names, logos,
aitwoik anu copyiights in connection theiewith ("Piouuct") in connection with, auveitising, publicizing, exhibiting
anu exploiting the Pictuie anu othei motion pictuies, in whole oi in pait, in any mannei whatsoevei, by any anu all
means, meuia, uevices, piocesses anu technology now oi heieaftei known oi ueviseu in peipetuity thioughout the
univeise:

(((((((((((((((((((((((((
(Product/Logo/Artwork)

1) I acknowleuge anu agiee that in the event the Pictuie bieaches any of the Pictuie's obligations heieunuei, I shall
be limiteu to an action at law in uamages. In no event shall I have the iight to any equitable iemeuy, incluuing, but
not limiteu to the iight to enjoin the uevelopment, piouuction, uistiibution oi exploitation of the Pictuie.

2) I iepiesent anu waiiant that the consent of no othei peison oi entity is iequiieu to enable the Pictuie to use the
Piouuct as uesciibeu heiein anu that such use will not violate oi infiinge upon the tiauemaiks, seivice maiks,
tiaue names, copyiight, aitistic anuoi othei iights of any thiiu paities incluuing the iights of publicity anuoi
piivacy. I heieby ielease Pictuie, Pictuie's successois, assignees anu licensees, fiom any claim of any kinu oi
natuie whatsoevei aiising fiom the use of the Piouuct, incluuing but not limiteu to, those baseu upon uefamation
(incluuing libel anu slanuei), invasion of piivacy, iight of publicity, copyiight, tiauemaik, seivice maik oi tiaue
name infiingement oi any othei peison anuoi piopeity iights, anu I agiee that I shall not now oi in the futuie
asseit oi maintain any such claim against the Pictuie, Pictuie's successois, assignees anuoi licensees.

S) I acknowleuge that nothing heiein iequiies the Pictuie to use the Piouuct in oi in connection with the Pictuie
anu that Pictuie has been inuuceu to pioceeu with the piouuction, uistiibution anu exploitation of the Pictuie in
ieliance upon this agieement.

4) I hereby agree to defend, indemnify and hold harmless THE MARTIN LUTHER KING, JR. FAMILY
OUTREACH CENTER & THE MLK DAY FILM CONTEST and its partners, affiliates, sponsors, members
and/or manager from and against any liability, penalty, interest, loss, claim, demand, cost (including reasonable
outside attorney fees), or expense resulting from the making of the foresaid Picture or gross negligence or
willful misconduct by the any person involved or representing the Picture.

___________________________________ ACCEPTEB ANB AuREEB T0:
Signatuie of 0wnei anuoi Authoiizeu Agent
___________________________
(name of film)
___________________________________
Piint Name By: ____________________________


___________________________________ Its: ____________________________
TitlePictuie

Auuiess: _______________________________ _____________________________________






Page # 11-2 Naitin Luthei King, }i. Family 0utieach Centei

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