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2024 Paws and Play pet video submission
Read the Paws and Play page to learn more
Submission and Distribution Release Form
Name - Human
*
Name(s) - Pet(s)
*
Address
Address
Address 2
City/Town
ZIP/Postal Code
Email
*
Date
*
Signature of Person Submitting
*
Reset
Is the person submitting a minor?
Yes
No
Parent/Guardian Name
Parent/Guardian Email
Parent/Guardian Address (if different from above)
Address
Address 2
City/Town
ZIP/Postal Code
Signature of Parent/Guardian
Reset
I represent that I am the parent/guardian of the minor who has signed above. I agree that we both shall be bound by this Agreement.
×
Information message
Upload Your Video
Click the link below and the follow instructions to upload your video file
https://www.dropbox.com/request/UsJymx9UOqbyGPGAhsRY
Or bring file in person to the Media Factory
Submitted video title / filename
*
I have read and agree to the
terms of service
.
*
I authorize the Media Factory the Humane Society of Chittenden County and to record and edit into Programs/Series/Segments and related materials, my name, likeness, image, voice, performance, and submitted content. The Media Factory may use all parts of the Program, including the recordings, for any purpose and dispose of without limitation as their sole discretion determines, including airing on public television, distrubtion online and for use in the promotion of future programs.
I understand that the content I produce for the Paws and Play pet video campaign is my own and I authorize the non-exclusive distribution of this content by the Media Factory and the Humane Society of Chittenden County on my behalf. This authorization is without date restriction.
I confirm my submission meets the
Video and Eligibility Requirements
*
Video Requirements
Submitter/Pet Owner lives, works or is a student in the Media Factory service area (Burlington, Charlotte, Essex, Ferrisburgh, Hinesburg, Shelburne, South Burlington, St. George, Vergennes, Williston, Winooski, and parts of Colchester and Waltham)
Each pet is limited to one (1) submission
The video submission does not contain any copyrighted audio and/or video.
The video submission does not contain any commercial material.
The maximum length of each video will be three minutes
A complete entry has both a submission form and a video file. Contact us at info@mediafactory.org or (802) 651-9692 with any questions.
Submit