Video Contest for High School Students 2022 Application Form

You will need one set of application forms for each video you want to submit. The video can be created by a single eligible student or a team of (up to six) eligible students.

The application form for one video will consist of

1. The cover form — listing the title of the video and the names and birthdates of everyone on the team (namely, those who will share dollars and/or glory of any prize awarded), and contact info (emails/phones) for at least two members of the team — and the names and birthdates of all “bit parts” and “featured extras” whose releases are attached
2. Individual release forms — each team member listed on the cover form must complete the interactive form, print and sign it, and scan it so it can be connected to the cover form.
   • If they are under 18, a parent must also sign agreement
3. Release forms for anyone acting a “bit part” or “featured extra”*

• • If they are under 18, a parent must also sign agreement for the video to be posted

All parts of the set of application forms for a single video must give the same title for the video and be sent in the same email requesting the Drop-Box link.

Before sending the application, please check that every team member’s form is completely filled in and all “bit parts” and “featured extras” have signed releases.

• A bit part has lines or a few scenes but is not a member of the “team” submitting the video
• A Featured extra has no lines but may have a name or receive good screen time, e.g., a waiter at the lead’s table who doesn’t speak.
• Emails and cell phones will be guarded by the selection committee and used only for our League members to reach out to students as needed.
  Video Title *

  1. Name:

  First

  Last

  Email:

  2. Name:

  First

  Last

  Email:

  3. Name:

  First

  Last

  Email:

  4. Name:

  First

  Last

  Email:

  5. Name:

  First

  Last

  Email:

  6. Name:

  First

  Last

  Email:

  1. Name:

  First

  Last

  2. Name:

  First

  Last

  3. Name:

  First

  Last

  4. Name:

  First

  Last

  5. Name:

  First

  Last

  6. Name:

  First

  Last

  Video Title:

  Others on This Team:

  Your Name:

  First

  Last

  Your Email:

  Your High School (name):

  Your expected graduation date (Year):

  • I agree that whether or not my/our entry is selected for a prize or honored as a finalist

  • It cannot be represented as a League video or as an entry in a League contest without advance written permission from our League
  • Should contestant(s) want to submit it in applications or as part of portfolios of their work, permission will not be withheld unreasonably

  • I agree that If my/our entry is selected for a prize or honored as a finalist

  • I will seriously consider making any requested revisions to the submitted video.
  • the League may, at its discretion, add opening and/or closing credits, which may include the League logo, contest description, contestant name(s) and roles — the League agrees to consult with my team about our preferences on these, if any
  • To grant the LWV an on-going permanent license to post it on LWV-controlled platforms, including LWV-controlled social media — and the LWV may describe it as “prize-winning,” “honored,” “selected by the League,” etc. — and may identify the creator/team members by name, high school, and/or the prize won.

  Your Signature:

  • I agree that my child’s video submission may be submitted under the terms defined above

  Parent/Guardian Signature:

  Parent/Guardian Name (Printed):

  Video Title:

  Your Name:

  First

  Last

  Your Email:

  Your High School (name):

  Your expected graduation date (Year):

  • I agree that If the above named video is

  • Selected for a prize or honored as a finalist, to grant the LWV an on-going permanent license to post it on LWV-controlled platforms, including LWV-controlled social media — and the LWV may describe it as “prize-winning,” “honored,” “selected by the League,” etc.
  • Not selected for a prize or honored as a finalist, that I may not represent it as a League video or as an entry in a League contest without advance written permission from our League

  Your Signature:

  • I agree that the video submission that includes video/audio of my child may be submitted under the terms defined above, granting the League of Women Voters of Port Washington-Manhasset an on-going permanent license to post it on LWV-controlled platforms, including LWV-controlled social media.

  Parent/Guardian Signature:

  Parent/Guardian Name (Printed):

  Submit