Entry Form |

Note: If you are entering in the monthly Hope and Justice category, you are currently on the wrong page! Please navigate to this page and fill out the entry form there. Otherwise, please fill out the form below:

2021 Entry Form

This entry form is due March 1, 2021. Every person that worked on the film (crew) or acted in the film (cast) needs to provide contact information, their T-shirt size, and accept the Directing Change Terms and Conditions (also referred to as the Release Form).

You can begin and then save this form uncompleted for up to 30 days at a time. At the bottom of the form you can click "Save and Continue Later". Once you click this you will be presented with a link that you need to bookmark and with an option to enter your email to receive the link via email. We strongly recommend doing both, as there is no way for the Directing Change Team to provide you with your link after the fact.

Everyone on your cast and crew needs to fill out and keep on file a signed copy of the release form. (And if you are under the age of 18, the release form needs to be signed by a parent or legal guardian.) Signed release forms should be kept on file by the adult advisor and will need to be sent to the Directing Change Team upon request. We no longer require you to upload these as part of the entry form, but we strongly encourage you to fill these out now. The Directing Change Team requires hard copies of the release forms for films to move on to the statewide round of judging or before we make award announcements. Once requested, we ask that the adult advisor submits them within 5 days. This time frame may coincide with your spring break. Since it is likely your film is excellent; save yourself time and headache later and get the release forms signed now. To be clear, a signed release form will be required for every person that worked on the film (crew) and acted in the film (cast) or whose voice can be heard in the film (cast).
Suicide prevention can be an emotional topic. If at any point you are experiencing an emotional crisis, are thinking about suicide or are concerned about a friend please call the National Suicide Prevention Lifeline immediately: 1-800-273-TALK (8255). This is a 24-hour hotline. Please share this information with anyone that is working with you on your film.*
- I have read and acknowledge the above information
Film Information
Are you a middle school student? Are you submitting affiliated with a high school or with an organization in the youth and young adult category? Mark Middle School Student if you are submitting your film as part of a class or club at your middle school. You will need to list a school adult advisor and your school is eligible to win programs and cash prizes. Mark High School Student or Youth and Young Adult if you are affiliated with a high school or if you are submitting with an organization and are between the ages of 14-25 (but are no longer in middle school). For example: you may be a community college or university student, part of a community-based organization or an after school youth program. Visit the FAQ page for more information about this.
Submission Group*
- Middle School Students
- High School Student or Youth and Young Adult (Grades 9-12 OR ages 12-25 not affiliated with a middle or high school)
Number of Participants in Creating Film (Cast and Crew)*
Please enter a number from 1 to 10.
Film Name*
Tell us a little bit about your film
Why you chose this category or any special effort that went into the film, or something new that you learned or did as a result of making the film
Film Category*
Please select one of the following categories for your film to compete in. *** IF YOU ARE SUBMITTING FOR HOPE AND JUSTICE, THIS IS THE WRONG FORM FOR YOU. PLEASE SUBMIT THE FORM HERE: https://www.directingchangeca.org/entry-form-hope-justice-category/ *** Note that the Walk in Our Shoes category is only open to middle school students and you must choose one of these other categories in which to compete; if you are seeing this message and are a middle school student, please scroll back up to the Submission Group field and select "Middle School Student."
- Suicide Prevention - 60 seconds
- Mental Health Matters - 60 seconds
- Through the Lens of Culture- Suicide Prevention- 60 seconds
- Through the Lens of Culture - Mental Health Matters- 60 seconds
- SanaMente – Mental Health – 30 seconds
- Animated Short- Suicide Prevention – 30 seconds
- Walk in Our Shoes - MIDDLE SCHOOL ONLY - 60 seconds
Film Category*
As a middle school student, you MUST submit a film in the Walk in Our Shoes category. You will only compete against other middle school students. If you are seeing this message and are a high school student or a youth/young adult not in middle school, please scroll back up to the Submission Group field and select "High School Student or Youth and Young Adult."
- Walk In Our Shoes - 60 seconds (Middle school only!)
Culture the Film Addresses*
Language of Film*
Upload your film (512mb max size)
- Your film will be uploaded to the directing change vimeo.com account. Vimeo's terms and conditions can be found at https://vimeo.com/terms.
- Please upload your film as a mp4 or .mov file. Make sure the film size is less than 512mb or the form will not submit.
- Please also include a short summary/description of what happens in your film.
File*Title*Description
School/Organization Information
School/Organization Name*
School District Name (if applicable)
School/Organization Mailing Address*
Street Address Address Line 2 City ZIP Code
County Where School/Organization is Located*
Adult Advisor
This section to be filled out by the advisor
We are asking that all participants are associated with either a middle school, high school, college, university, community-based organization, program, club or other entity and select an adult advisor for their team. The adult advisor is someone who is not on the film submission team. We are doing this so we can connect your school, club or organization with free prevention programs and resources and they also qualify for mini grants. For questions or assistance with this please contact us.
Advisor's Name*
Cell Phone*
Email*
Work Agreement
- As adult advisor I testify that this entry is a product of student/youth work. My role and that of other non-students in support of this entry were in advisement only.
Age Verification*
- All students on the film team are in grades 6, 7, 8, 9, 10, 11, or 12 or the lead youth on the film is between the ages of 12 and 25.
Participant 1
This is the lead filmmaker who will receive award check and must meet age requirement
Name*
Email*
Phone*
Grade*
If you are finished with middle and high school, please select "Other"
Role*
Role in making the film (for example: actor, director, writer, etc.)
Participant 1 - How would you describe yourself? (Mark all that apply)*
- Hispanic
- White
- Black or African American
- Asian
- American Indian/Alaska Native
- Native Hawaiian/Pacific Islander
- Other
Participant 1 Gender Identity
- Man
- Woman
- Gender Non-Conforming
- Genderqueer/Non-Binary
- Intersex
- Transgender Man
- Transgender Woman
- Two Spirit
T-Shirt Size*
Age Group*
- Under 18
- 18-25
Parent Name*
Parent Email*
Terms and Conditions*

1. In consideration of my participation in the film that is being/has been uploaded (hereafter "Film") as part of the Directing Change Program and Film Contest, I hereby consent to the photographing, recording, or reproduction in any other manner of my likeness, voice and activities, in whole or in part, including the use of video and audio recordings and web use (hereafter “recordings”). I hereby waive any right that I may have to inspect or approve the finished audio and/or video recordings that may be used in connection herein. I understand that I will receive no monetary compensation for my participation in this production, nor may I make any monetary claim in the future for this participation.
2. Filmmaker(s) and the Directing Change Program and Film Contest shall be the exclusive owner(s) of “Film” and “Recordings” giving them the right to, without limitation, in perpetuity throughout the universe, in any and all languages, in any and all media know known or hereafter invented:(a) exhibit, broadcast, use, reproduce and license others to use as they see fit all or any part of the Film and the Recordings; (b) edit, dub, subtract from, add to or modify the Recording and the Film in any manner, combine it with any other material and/or incorporate it into other films, projects or programs; and (c) use and license others to use my name, voice, likeness, image, photograph, performance, participation, expressions, personal experiences and biographical material (collectively “Name and Likeness”), in and in connection with the production, distribution, advertising, publicity, promotion, exhibition and other exploitation of the Recordings, the Film, and in connection with The Directing Change Program’s products and services, an unlimited number of times, without any obligation of any kind to me whatsoever.
3. I represent that any music, images or other materials in the Recordings and the Film (and my furnishing of Pre-existing Materials, if any) are original or in the public domain and will not to the best of my knowledge (i.e., what I know or should know after the exercise of reasonable prudence) infringe upon the rights of any third party. I represent and warrant that I have all rights and authority to enter into this Waiver and Release (“Release”) and to grant the rights granted herein.
4. As used in this Release: (a) the term “Releasing Parties” means and refers to each of me, my heirs, next of kin, spouse, spousal equivalent, guardians, legal representatives, executors, administrators, successors and assigns; and (b) the term “Released Parties” means and refers to Filmmaker and the Directing Change Program and Film Contest and each and all of their respective parents, subsidiaries, related and affiliated companies, licensees, sponsors, successors and assigns, and the directors, officers, employees, agents, contractors, partners, shareholders, representatives and members of each of the foregoing entities.
5. I voluntarily assume any and all risks, known or unknown, associated with my participation in the Directing Change Program & Film Contest and actions and undertakings associated with my participation and the subsequent or simultaneous dissemination of the Recordings (collectively “my Participation”). I acknowledge that my Participation may present certain risks to me, and I hereby assume any and all risks associated therewith, including, without limitation, the risk of physical or mental or emotional injury, minor and/or severe bodily harm, and/or illness, which arise by any means.
6. I and the other Releasing Parties hereby voluntarily and knowingly, release, discharge and relinquish any and all claims, actions and lawsuits of any kind against the Released Parties related to or arising from my Participation, including, without limitation, travel to and from any location used in connection with the Film and Recordings, travel to and from the award ceremony, the making, taping, production, use, editing, distribution, licensing, and/or promoting of the Film and the Recordings and/or any portion thereof, including, without limitation, any claims, actions or lawsuits for wrongful death, negligence and/or other fault, either active or passive, personal injury, wrongful death, defamation, false light, violation of right of publicity, invasion of privacy, disclosure of embarrassing private facts, fraud, breach of contract, infringement of copyright, and negligent or intentional infliction of emotional distress.
7. I represent that I am at least 18 years of age, and that if I under 18 my parent or legal guardian has consented below.
8. I hereby agree not to assert any claim of any nature whatsoever against anyone relating to the exercise of the permissions granted hereunder.
- I agree to these terms and conditions
Participant 2
Name*
Email*
Phone*
Grade*
If you are finished with middle and high school, please select "Other"
Participant 2 - How would you describe yourself? (Mark all that apply)*
- Hispanic
- White
- Black or African American
- Asian
- American Indian/Alaska Native
- Native Hawaiian/Pacific Islander
- More than one race
- Other
Role*
Role in making the film (for example: actor, director, writer, etc.)
Participant 2 Gender Identity
- Man
- Woman
- Gender Non-Conforming
- Genderqueer/Non-Binary
- Intersex
- Transgender Man
- Transgender Woman
- Two Spirit
Age Group*
- Under 18
- 18-25
Parent Name*
Parent Email*
T-Shirt Size*
Terms and Conditions*

1. In consideration of my participation in the film that is being/has been uploaded (hereafter "Film") as part of the Directing Change Program and Film Contest, I hereby consent to the photographing, recording, or reproduction in any other manner of my likeness, voice and activities, in whole or in part, including the use of video and audio recordings and web use (hereafter “recordings”). I hereby waive any right that I may have to inspect or approve the finished audio and/or video recordings that may be used in connection herein. I understand that I will receive no monetary compensation for my participation in this production, nor may I make any monetary claim in the future for this participation.
2. Filmmaker(s) and the Directing Change Program and Film Contest shall be the exclusive owner(s) of “Film” and “Recordings” giving them the right to, without limitation, in perpetuity throughout the universe, in any and all languages, in any and all media know known or hereafter invented:(a) exhibit, broadcast, use, reproduce and license others to use as they see fit all or any part of the Film and the Recordings; (b) edit, dub, subtract from, add to or modify the Recording and the Film in any manner, combine it with any other material and/or incorporate it into other films, projects or programs; and (c) use and license others to use my name, voice, likeness, image, photograph, performance, participation, expressions, personal experiences and biographical material (collectively “Name and Likeness”), in and in connection with the production, distribution, advertising, publicity, promotion, exhibition and other exploitation of the Recordings, the Film, and in connection with The Directing Change Program’s products and services, an unlimited number of times, without any obligation of any kind to me whatsoever.
3. I represent that any music, images or other materials in the Recordings and the Film (and my furnishing of Pre-existing Materials, if any) are original or in the public domain and will not to the best of my knowledge (i.e., what I know or should know after the exercise of reasonable prudence) infringe upon the rights of any third party. I represent and warrant that I have all rights and authority to enter into this Waiver and Release (“Release”) and to grant the rights granted herein.
4. As used in this Release: (a) the term “Releasing Parties” means and refers to each of me, my heirs, next of kin, spouse, spousal equivalent, guardians, legal representatives, executors, administrators, successors and assigns; and (b) the term “Released Parties” means and refers to Filmmaker and the Directing Change Program and Film Contest and each and all of their respective parents, subsidiaries, related and affiliated companies, licensees, sponsors, successors and assigns, and the directors, officers, employees, agents, contractors, partners, shareholders, representatives and members of each of the foregoing entities.
5. I voluntarily assume any and all risks, known or unknown, associated with my participation in the Directing Change Program & Film Contest and actions and undertakings associated with my participation and the subsequent or simultaneous dissemination of the Recordings (collectively “my Participation”). I acknowledge that my Participation may present certain risks to me, and I hereby assume any and all risks associated therewith, including, without limitation, the risk of physical or mental or emotional injury, minor and/or severe bodily harm, and/or illness, which arise by any means.
6. I and the other Releasing Parties hereby voluntarily and knowingly, release, discharge and relinquish any and all claims, actions and lawsuits of any kind against the Released Parties related to or arising from my Participation, including, without limitation, travel to and from any location used in connection with the Film and Recordings, travel to and from the award ceremony, the making, taping, production, use, editing, distribution, licensing, and/or promoting of the Film and the Recordings and/or any portion thereof, including, without limitation, any claims, actions or lawsuits for wrongful death, negligence and/or other fault, either active or passive, personal injury, wrongful death, defamation, false light, violation of right of publicity, invasion of privacy, disclosure of embarrassing private facts, fraud, breach of contract, infringement of copyright, and negligent or intentional infliction of emotional distress.
7. I represent that I am at least 18 years of age, and that if I under 18 my parent or legal guardian has consented below.
8. I hereby agree not to assert any claim of any nature whatsoever against anyone relating to the exercise of the permissions granted hereunder.
- I agree to these terms and conditions
Participant 3
Name*
Email*
Phone*
Grade*
If you are finished with middle and high school, please select "Other"
Role*
Role in making the film (for example: actor, director, writer, etc.)
Participant 3 - How would you describe yourself? (Mark all that apply)*
- Hispanic
- White
- Black or African American
- Asian
- American Indian/Alaska Native
- Native Hawaiian/Pacific Islander
- More than one race
- Other
Participant 3 Gender Identity*
- Man
- Woman
- Gender Non-Conforming
- Genderqueer/Non-Binary
- Intersex
- Transgender Man
- Transgender Woman
- Two Spirit
Age Group*
- Under 18
- 18-25
Parent Name*
Parent Email*
T-Shirt Size*
Terms and Conditions*

1. In consideration of my participation in the film that is being/has been uploaded (hereafter "Film") as part of the Directing Change Program and Film Contest, I hereby consent to the photographing, recording, or reproduction in any other manner of my likeness, voice and activities, in whole or in part, including the use of video and audio recordings and web use (hereafter “recordings”). I hereby waive any right that I may have to inspect or approve the finished audio and/or video recordings that may be used in connection herein. I understand that I will receive no monetary compensation for my participation in this production, nor may I make any monetary claim in the future for this participation.
2. Filmmaker(s) and the Directing Change Program and Film Contest shall be the exclusive owner(s) of “Film” and “Recordings” giving them the right to, without limitation, in perpetuity throughout the universe, in any and all languages, in any and all media know known or hereafter invented:(a) exhibit, broadcast, use, reproduce and license others to use as they see fit all or any part of the Film and the Recordings; (b) edit, dub, subtract from, add to or modify the Recording and the Film in any manner, combine it with any other material and/or incorporate it into other films, projects or programs; and (c) use and license others to use my name, voice, likeness, image, photograph, performance, participation, expressions, personal experiences and biographical material (collectively “Name and Likeness”), in and in connection with the production, distribution, advertising, publicity, promotion, exhibition and other exploitation of the Recordings, the Film, and in connection with The Directing Change Program’s products and services, an unlimited number of times, without any obligation of any kind to me whatsoever.
3. I represent that any music, images or other materials in the Recordings and the Film (and my furnishing of Pre-existing Materials, if any) are original or in the public domain and will not to the best of my knowledge (i.e., what I know or should know after the exercise of reasonable prudence) infringe upon the rights of any third party. I represent and warrant that I have all rights and authority to enter into this Waiver and Release (“Release”) and to grant the rights granted herein.
4. As used in this Release: (a) the term “Releasing Parties” means and refers to each of me, my heirs, next of kin, spouse, spousal equivalent, guardians, legal representatives, executors, administrators, successors and assigns; and (b) the term “Released Parties” means and refers to Filmmaker and the Directing Change Program and Film Contest and each and all of their respective parents, subsidiaries, related and affiliated companies, licensees, sponsors, successors and assigns, and the directors, officers, employees, agents, contractors, partners, shareholders, representatives and members of each of the foregoing entities.
5. I voluntarily assume any and all risks, known or unknown, associated with my participation in the Directing Change Program & Film Contest and actions and undertakings associated with my participation and the subsequent or simultaneous dissemination of the Recordings (collectively “my Participation”). I acknowledge that my Participation may present certain risks to me, and I hereby assume any and all risks associated therewith, including, without limitation, the risk of physical or mental or emotional injury, minor and/or severe bodily harm, and/or illness, which arise by any means.
6. I and the other Releasing Parties hereby voluntarily and knowingly, release, discharge and relinquish any and all claims, actions and lawsuits of any kind against the Released Parties related to or arising from my Participation, including, without limitation, travel to and from any location used in connection with the Film and Recordings, travel to and from the award ceremony, the making, taping, production, use, editing, distribution, licensing, and/or promoting of the Film and the Recordings and/or any portion thereof, including, without limitation, any claims, actions or lawsuits for wrongful death, negligence and/or other fault, either active or passive, personal injury, wrongful death, defamation, false light, violation of right of publicity, invasion of privacy, disclosure of embarrassing private facts, fraud, breach of contract, infringement of copyright, and negligent or intentional infliction of emotional distress.
7. I represent that I am at least 18 years of age, and that if I under 18 my parent or legal guardian has consented below.
8. I hereby agree not to assert any claim of any nature whatsoever against anyone relating to the exercise of the permissions granted hereunder.
- I agree to these terms and conditions
Participant 4
Name*
Email*
Phone*
Grade*
If you are finished with middle and high school, please select "Other"
Role*
Role in making the film (for example: actor, director, writer, etc.)
Participant 4 - How would you describe yourself? (Mark all that apply)*
- Hispanic
- White
- Black or African American
- Asian
- American Indian/Alaska Native
- Native Hawaiian/Pacific Islander
- More than one race
- Other
Participant 4 Gender Identity
- Man
- Woman
- Gender Non-Conforming
- Genderqueer/Non-Binary
- Intersex
- Transgender Man
- Transgender Woman
- Two Spirit
Age Group*
- Under 18
- 18-25
Parent Name*
Parent Email*
T-Shirt Size*
Terms and Conditions*

1. In consideration of my participation in the film that is being/has been uploaded (hereafter "Film") as part of the Directing Change Program and Film Contest, I hereby consent to the photographing, recording, or reproduction in any other manner of my likeness, voice and activities, in whole or in part, including the use of video and audio recordings and web use (hereafter “recordings”). I hereby waive any right that I may have to inspect or approve the finished audio and/or video recordings that may be used in connection herein. I understand that I will receive no monetary compensation for my participation in this production, nor may I make any monetary claim in the future for this participation.
2. Filmmaker(s) and the Directing Change Program and Film Contest shall be the exclusive owner(s) of “Film” and “Recordings” giving them the right to, without limitation, in perpetuity throughout the universe, in any and all languages, in any and all media know known or hereafter invented:(a) exhibit, broadcast, use, reproduce and license others to use as they see fit all or any part of the Film and the Recordings; (b) edit, dub, subtract from, add to or modify the Recording and the Film in any manner, combine it with any other material and/or incorporate it into other films, projects or programs; and (c) use and license others to use my name, voice, likeness, image, photograph, performance, participation, expressions, personal experiences and biographical material (collectively “Name and Likeness”), in and in connection with the production, distribution, advertising, publicity, promotion, exhibition and other exploitation of the Recordings, the Film, and in connection with The Directing Change Program’s products and services, an unlimited number of times, without any obligation of any kind to me whatsoever.
3. I represent that any music, images or other materials in the Recordings and the Film (and my furnishing of Pre-existing Materials, if any) are original or in the public domain and will not to the best of my knowledge (i.e., what I know or should know after the exercise of reasonable prudence) infringe upon the rights of any third party. I represent and warrant that I have all rights and authority to enter into this Waiver and Release (“Release”) and to grant the rights granted herein.
4. As used in this Release: (a) the term “Releasing Parties” means and refers to each of me, my heirs, next of kin, spouse, spousal equivalent, guardians, legal representatives, executors, administrators, successors and assigns; and (b) the term “Released Parties” means and refers to Filmmaker and the Directing Change Program and Film Contest and each and all of their respective parents, subsidiaries, related and affiliated companies, licensees, sponsors, successors and assigns, and the directors, officers, employees, agents, contractors, partners, shareholders, representatives and members of each of the foregoing entities.
5. I voluntarily assume any and all risks, known or unknown, associated with my participation in the Directing Change Program & Film Contest and actions and undertakings associated with my participation and the subsequent or simultaneous dissemination of the Recordings (collectively “my Participation”). I acknowledge that my Participation may present certain risks to me, and I hereby assume any and all risks associated therewith, including, without limitation, the risk of physical or mental or emotional injury, minor and/or severe bodily harm, and/or illness, which arise by any means.
6. I and the other Releasing Parties hereby voluntarily and knowingly, release, discharge and relinquish any and all claims, actions and lawsuits of any kind against the Released Parties related to or arising from my Participation, including, without limitation, travel to and from any location used in connection with the Film and Recordings, travel to and from the award ceremony, the making, taping, production, use, editing, distribution, licensing, and/or promoting of the Film and the Recordings and/or any portion thereof, including, without limitation, any claims, actions or lawsuits for wrongful death, negligence and/or other fault, either active or passive, personal injury, wrongful death, defamation, false light, violation of right of publicity, invasion of privacy, disclosure of embarrassing private facts, fraud, breach of contract, infringement of copyright, and negligent or intentional infliction of emotional distress.
7. I represent that I am at least 18 years of age, and that if I under 18 my parent or legal guardian has consented below.
8. I hereby agree not to assert any claim of any nature whatsoever against anyone relating to the exercise of the permissions granted hereunder.
- I agree to these terms and conditions
Participant 5
Name*
Email*
Phone*
Grade*
Role*
Role in making the film (for example: actor, director, writer, etc.)
Participant 5 - How would you describe yourself? (Mark all that apply)*
- Hispanic
- White
- Black or African American
- Asian
- American Indian/Alaska Native
- Native Hawaiian/Pacific Islander
- More than one race
- Other
Participant 5 Gender Identity
- Man
- Woman
- Gender Non-Conforming
- Genderqueer/Non-Binary
- Intersex
- Transgender Man
- Transgender Woman
- Two Spirit
Age Group*
- Under 18
- 18-25
Parent Name*
Parent Email*
T-Shirt Size*
Terms and Conditions*

1. In consideration of my participation in the film that is being/has been uploaded (hereafter "Film") as part of the Directing Change Program and Film Contest, I hereby consent to the photographing, recording, or reproduction in any other manner of my likeness, voice and activities, in whole or in part, including the use of video and audio recordings and web use (hereafter “recordings”). I hereby waive any right that I may have to inspect or approve the finished audio and/or video recordings that may be used in connection herein. I understand that I will receive no monetary compensation for my participation in this production, nor may I make any monetary claim in the future for this participation.
2. Filmmaker(s) and the Directing Change Program and Film Contest shall be the exclusive owner(s) of “Film” and “Recordings” giving them the right to, without limitation, in perpetuity throughout the universe, in any and all languages, in any and all media know known or hereafter invented:(a) exhibit, broadcast, use, reproduce and license others to use as they see fit all or any part of the Film and the Recordings; (b) edit, dub, subtract from, add to or modify the Recording and the Film in any manner, combine it with any other material and/or incorporate it into other films, projects or programs; and (c) use and license others to use my name, voice, likeness, image, photograph, performance, participation, expressions, personal experiences and biographical material (collectively “Name and Likeness”), in and in connection with the production, distribution, advertising, publicity, promotion, exhibition and other exploitation of the Recordings, the Film, and in connection with The Directing Change Program’s products and services, an unlimited number of times, without any obligation of any kind to me whatsoever.
3. I represent that any music, images or other materials in the Recordings and the Film (and my furnishing of Pre-existing Materials, if any) are original or in the public domain and will not to the best of my knowledge (i.e., what I know or should know after the exercise of reasonable prudence) infringe upon the rights of any third party. I represent and warrant that I have all rights and authority to enter into this Waiver and Release (“Release”) and to grant the rights granted herein.
4. As used in this Release: (a) the term “Releasing Parties” means and refers to each of me, my heirs, next of kin, spouse, spousal equivalent, guardians, legal representatives, executors, administrators, successors and assigns; and (b) the term “Released Parties” means and refers to Filmmaker and the Directing Change Program and Film Contest and each and all of their respective parents, subsidiaries, related and affiliated companies, licensees, sponsors, successors and assigns, and the directors, officers, employees, agents, contractors, partners, shareholders, representatives and members of each of the foregoing entities.
5. I voluntarily assume any and all risks, known or unknown, associated with my participation in the Directing Change Program & Film Contest and actions and undertakings associated with my participation and the subsequent or simultaneous dissemination of the Recordings (collectively “my Participation”). I acknowledge that my Participation may present certain risks to me, and I hereby assume any and all risks associated therewith, including, without limitation, the risk of physical or mental or emotional injury, minor and/or severe bodily harm, and/or illness, which arise by any means.
6. I and the other Releasing Parties hereby voluntarily and knowingly, release, discharge and relinquish any and all claims, actions and lawsuits of any kind against the Released Parties related to or arising from my Participation, including, without limitation, travel to and from any location used in connection with the Film and Recordings, travel to and from the award ceremony, the making, taping, production, use, editing, distribution, licensing, and/or promoting of the Film and the Recordings and/or any portion thereof, including, without limitation, any claims, actions or lawsuits for wrongful death, negligence and/or other fault, either active or passive, personal injury, wrongful death, defamation, false light, violation of right of publicity, invasion of privacy, disclosure of embarrassing private facts, fraud, breach of contract, infringement of copyright, and negligent or intentional infliction of emotional distress.
7. I represent that I am at least 18 years of age, and that if I under 18 my parent or legal guardian has consented below.
8. I hereby agree not to assert any claim of any nature whatsoever against anyone relating to the exercise of the permissions granted hereunder.
- I agree to these terms and conditions
Participant 6
Name*
Email*
Phone*
Grade*
Role*
Role in making the film (for example: actor, director, writer, etc.)
Participant 6 - How would you describe yourself? (Mark all that apply)*
- Hispanic
- White
- Black or African American
- Asian
- American Indian/Alaska Native
- Native Hawaiian/Pacific Islander
- More than one race
- Other
Participant 6 Gender Identity
- Man
- Woman
- Gender Non-Conforming
- Genderqueer/Non-Binary
- Intersex
- Transgender Man
- Transgender Woman
- Two Spirit
Age Group*
- Under 18
- 18-25
Parent Name*
Parent Email*
Parent Email*
T-Shirt Size*
Terms and Conditions*

1. In consideration of my participation in the film that is being/has been uploaded (hereafter "Film") as part of the Directing Change Program and Film Contest, I hereby consent to the photographing, recording, or reproduction in any other manner of my likeness, voice and activities, in whole or in part, including the use of video and audio recordings and web use (hereafter “recordings”). I hereby waive any right that I may have to inspect or approve the finished audio and/or video recordings that may be used in connection herein. I understand that I will receive no monetary compensation for my participation in this production, nor may I make any monetary claim in the future for this participation.
2. Filmmaker(s) and the Directing Change Program and Film Contest shall be the exclusive owner(s) of “Film” and “Recordings” giving them the right to, without limitation, in perpetuity throughout the universe, in any and all languages, in any and all media know known or hereafter invented:(a) exhibit, broadcast, use, reproduce and license others to use as they see fit all or any part of the Film and the Recordings; (b) edit, dub, subtract from, add to or modify the Recording and the Film in any manner, combine it with any other material and/or incorporate it into other films, projects or programs; and (c) use and license others to use my name, voice, likeness, image, photograph, performance, participation, expressions, personal experiences and biographical material (collectively “Name and Likeness”), in and in connection with the production, distribution, advertising, publicity, promotion, exhibition and other exploitation of the Recordings, the Film, and in connection with The Directing Change Program’s products and services, an unlimited number of times, without any obligation of any kind to me whatsoever.
3. I represent that any music, images or other materials in the Recordings and the Film (and my furnishing of Pre-existing Materials, if any) are original or in the public domain and will not to the best of my knowledge (i.e., what I know or should know after the exercise of reasonable prudence) infringe upon the rights of any third party. I represent and warrant that I have all rights and authority to enter into this Waiver and Release (“Release”) and to grant the rights granted herein.
4. As used in this Release: (a) the term “Releasing Parties” means and refers to each of me, my heirs, next of kin, spouse, spousal equivalent, guardians, legal representatives, executors, administrators, successors and assigns; and (b) the term “Released Parties” means and refers to Filmmaker and the Directing Change Program and Film Contest and each and all of their respective parents, subsidiaries, related and affiliated companies, licensees, sponsors, successors and assigns, and the directors, officers, employees, agents, contractors, partners, shareholders, representatives and members of each of the foregoing entities.
5. I voluntarily assume any and all risks, known or unknown, associated with my participation in the Directing Change Program & Film Contest and actions and undertakings associated with my participation and the subsequent or simultaneous dissemination of the Recordings (collectively “my Participation”). I acknowledge that my Participation may present certain risks to me, and I hereby assume any and all risks associated therewith, including, without limitation, the risk of physical or mental or emotional injury, minor and/or severe bodily harm, and/or illness, which arise by any means.
6. I and the other Releasing Parties hereby voluntarily and knowingly, release, discharge and relinquish any and all claims, actions and lawsuits of any kind against the Released Parties related to or arising from my Participation, including, without limitation, travel to and from any location used in connection with the Film and Recordings, travel to and from the award ceremony, the making, taping, production, use, editing, distribution, licensing, and/or promoting of the Film and the Recordings and/or any portion thereof, including, without limitation, any claims, actions or lawsuits for wrongful death, negligence and/or other fault, either active or passive, personal injury, wrongful death, defamation, false light, violation of right of publicity, invasion of privacy, disclosure of embarrassing private facts, fraud, breach of contract, infringement of copyright, and negligent or intentional infliction of emotional distress.
7. I represent that I am at least 18 years of age, and that if I under 18 my parent or legal guardian has consented below.
8. I hereby agree not to assert any claim of any nature whatsoever against anyone relating to the exercise of the permissions granted hereunder.
- I agree to these terms and conditions
Participant 7
Name*
Email*
Phone*
Grade*
Role*
Role in making the film (for example: actor, director, writer, etc.)
Participant 7 - How would you describe yourself? (Mark all that apply)*
- Hispanic
- White
- Black or African American
- Asian
- American Indian/Alaska Native
- Native Hawaiian/Pacific Islander
- More than one race
- Other
Participant 7 Gender Identity
- Man
- Woman
- Gender Non-Conforming
- Genderqueer/Non-Binary
- Intersex
- Transgender Man
- Transgender Woman
- Two Spirit
Age Group*
- Under 18
- 18-25
Parent Name*
Parent Email*
T-Shirt Size*
Terms and Conditions*

1. In consideration of my participation in the film that is being/has been uploaded (hereafter "Film") as part of the Directing Change Program and Film Contest, I hereby consent to the photographing, recording, or reproduction in any other manner of my likeness, voice and activities, in whole or in part, including the use of video and audio recordings and web use (hereafter “recordings”). I hereby waive any right that I may have to inspect or approve the finished audio and/or video recordings that may be used in connection herein. I understand that I will receive no monetary compensation for my participation in this production, nor may I make any monetary claim in the future for this participation.
2. Filmmaker(s) and the Directing Change Program and Film Contest shall be the exclusive owner(s) of “Film” and “Recordings” giving them the right to, without limitation, in perpetuity throughout the universe, in any and all languages, in any and all media know known or hereafter invented:(a) exhibit, broadcast, use, reproduce and license others to use as they see fit all or any part of the Film and the Recordings; (b) edit, dub, subtract from, add to or modify the Recording and the Film in any manner, combine it with any other material and/or incorporate it into other films, projects or programs; and (c) use and license others to use my name, voice, likeness, image, photograph, performance, participation, expressions, personal experiences and biographical material (collectively “Name and Likeness”), in and in connection with the production, distribution, advertising, publicity, promotion, exhibition and other exploitation of the Recordings, the Film, and in connection with The Directing Change Program’s products and services, an unlimited number of times, without any obligation of any kind to me whatsoever.
3. I represent that any music, images or other materials in the Recordings and the Film (and my furnishing of Pre-existing Materials, if any) are original or in the public domain and will not to the best of my knowledge (i.e., what I know or should know after the exercise of reasonable prudence) infringe upon the rights of any third party. I represent and warrant that I have all rights and authority to enter into this Waiver and Release (“Release”) and to grant the rights granted herein.
4. As used in this Release: (a) the term “Releasing Parties” means and refers to each of me, my heirs, next of kin, spouse, spousal equivalent, guardians, legal representatives, executors, administrators, successors and assigns; and (b) the term “Released Parties” means and refers to Filmmaker and the Directing Change Program and Film Contest and each and all of their respective parents, subsidiaries, related and affiliated companies, licensees, sponsors, successors and assigns, and the directors, officers, employees, agents, contractors, partners, shareholders, representatives and members of each of the foregoing entities.
5. I voluntarily assume any and all risks, known or unknown, associated with my participation in the Directing Change Program & Film Contest and actions and undertakings associated with my participation and the subsequent or simultaneous dissemination of the Recordings (collectively “my Participation”). I acknowledge that my Participation may present certain risks to me, and I hereby assume any and all risks associated therewith, including, without limitation, the risk of physical or mental or emotional injury, minor and/or severe bodily harm, and/or illness, which arise by any means.
6. I and the other Releasing Parties hereby voluntarily and knowingly, release, discharge and relinquish any and all claims, actions and lawsuits of any kind against the Released Parties related to or arising from my Participation, including, without limitation, travel to and from any location used in connection with the Film and Recordings, travel to and from the award ceremony, the making, taping, production, use, editing, distribution, licensing, and/or promoting of the Film and the Recordings and/or any portion thereof, including, without limitation, any claims, actions or lawsuits for wrongful death, negligence and/or other fault, either active or passive, personal injury, wrongful death, defamation, false light, violation of right of publicity, invasion of privacy, disclosure of embarrassing private facts, fraud, breach of contract, infringement of copyright, and negligent or intentional infliction of emotional distress.
7. I represent that I am at least 18 years of age, and that if I under 18 my parent or legal guardian has consented below.
8. I hereby agree not to assert any claim of any nature whatsoever against anyone relating to the exercise of the permissions granted hereunder.
- I agree to these terms and conditions
Participant 8
Name*
Email*
Phone*
Grade
Role*
Role in making the film (for example: actor, director, writer, etc.)
Participant 8 - How would you describe yourself? (Mark all that apply)*
- Hispanic
- White
- Black or African American
- Asian
- American Indian/Alaska Native
- Native Hawaiian/Pacific Islander
- More than one race
- Other
Participant 8 Gender Identity
- Man
- Woman
- Gender Non-Conforming
- Genderqueer/Non-Binary
- Intersex
- Transgender Man
- Transgender Woman
- Two Spirit
Age Group*
- Under 18
- 18-25
Parent Name*
Parent Email*
T-Shirt Size*
Terms and Conditions*

1. In consideration of my participation in the film that is being/has been uploaded (hereafter "Film") as part of the Directing Change Program and Film Contest, I hereby consent to the photographing, recording, or reproduction in any other manner of my likeness, voice and activities, in whole or in part, including the use of video and audio recordings and web use (hereafter “recordings”). I hereby waive any right that I may have to inspect or approve the finished audio and/or video recordings that may be used in connection herein. I understand that I will receive no monetary compensation for my participation in this production, nor may I make any monetary claim in the future for this participation.
2. Filmmaker(s) and the Directing Change Program and Film Contest shall be the exclusive owner(s) of “Film” and “Recordings” giving them the right to, without limitation, in perpetuity throughout the universe, in any and all languages, in any and all media know known or hereafter invented:(a) exhibit, broadcast, use, reproduce and license others to use as they see fit all or any part of the Film and the Recordings; (b) edit, dub, subtract from, add to or modify the Recording and the Film in any manner, combine it with any other material and/or incorporate it into other films, projects or programs; and (c) use and license others to use my name, voice, likeness, image, photograph, performance, participation, expressions, personal experiences and biographical material (collectively “Name and Likeness”), in and in connection with the production, distribution, advertising, publicity, promotion, exhibition and other exploitation of the Recordings, the Film, and in connection with The Directing Change Program’s products and services, an unlimited number of times, without any obligation of any kind to me whatsoever.
3. I represent that any music, images or other materials in the Recordings and the Film (and my furnishing of Pre-existing Materials, if any) are original or in the public domain and will not to the best of my knowledge (i.e., what I know or should know after the exercise of reasonable prudence) infringe upon the rights of any third party. I represent and warrant that I have all rights and authority to enter into this Waiver and Release (“Release”) and to grant the rights granted herein.
4. As used in this Release: (a) the term “Releasing Parties” means and refers to each of me, my heirs, next of kin, spouse, spousal equivalent, guardians, legal representatives, executors, administrators, successors and assigns; and (b) the term “Released Parties” means and refers to Filmmaker and the Directing Change Program and Film Contest and each and all of their respective parents, subsidiaries, related and affiliated companies, licensees, sponsors, successors and assigns, and the directors, officers, employees, agents, contractors, partners, shareholders, representatives and members of each of the foregoing entities.
5. I voluntarily assume any and all risks, known or unknown, associated with my participation in the Directing Change Program & Film Contest and actions and undertakings associated with my participation and the subsequent or simultaneous dissemination of the Recordings (collectively “my Participation”). I acknowledge that my Participation may present certain risks to me, and I hereby assume any and all risks associated therewith, including, without limitation, the risk of physical or mental or emotional injury, minor and/or severe bodily harm, and/or illness, which arise by any means.
6. I and the other Releasing Parties hereby voluntarily and knowingly, release, discharge and relinquish any and all claims, actions and lawsuits of any kind against the Released Parties related to or arising from my Participation, including, without limitation, travel to and from any location used in connection with the Film and Recordings, travel to and from the award ceremony, the making, taping, production, use, editing, distribution, licensing, and/or promoting of the Film and the Recordings and/or any portion thereof, including, without limitation, any claims, actions or lawsuits for wrongful death, negligence and/or other fault, either active or passive, personal injury, wrongful death, defamation, false light, violation of right of publicity, invasion of privacy, disclosure of embarrassing private facts, fraud, breach of contract, infringement of copyright, and negligent or intentional infliction of emotional distress.
7. I represent that I am at least 18 years of age, and that if I under 18 my parent or legal guardian has consented below.
8. I hereby agree not to assert any claim of any nature whatsoever against anyone relating to the exercise of the permissions granted hereunder.
- I agree to these terms and conditions
Participant 9
Name*
Email*
Phone*
Grade*
Role*
Role in making the film (for example: actor, director, writer, etc.)
Participant 9 - How would you describe yourself? (Mark all that apply)*
- Hispanic
- White
- Black or African American
- Asian
- American Indian/Alaska Native
- Native Hawaiian/Pacific Islander
- More than one race
- Other
Participant 9 Gender Identity
- Man
- Woman
- Gender Non-Conforming
- Genderqueer/Non-Binary
- Intersex
- Transgender Man
- Transgender Woman
- Two Spirit
Age Group*
- Under 18
- 18-25
Parent Name*
Parent Email*
T-Shirt Size*
Terms and Conditions*

1. In consideration of my participation in the film that is being/has been uploaded (hereafter "Film") as part of the Directing Change Program and Film Contest, I hereby consent to the photographing, recording, or reproduction in any other manner of my likeness, voice and activities, in whole or in part, including the use of video and audio recordings and web use (hereafter “recordings”). I hereby waive any right that I may have to inspect or approve the finished audio and/or video recordings that may be used in connection herein. I understand that I will receive no monetary compensation for my participation in this production, nor may I make any monetary claim in the future for this participation.
2. Filmmaker(s) and the Directing Change Program and Film Contest shall be the exclusive owner(s) of “Film” and “Recordings” giving them the right to, without limitation, in perpetuity throughout the universe, in any and all languages, in any and all media know known or hereafter invented:(a) exhibit, broadcast, use, reproduce and license others to use as they see fit all or any part of the Film and the Recordings; (b) edit, dub, subtract from, add to or modify the Recording and the Film in any manner, combine it with any other material and/or incorporate it into other films, projects or programs; and (c) use and license others to use my name, voice, likeness, image, photograph, performance, participation, expressions, personal experiences and biographical material (collectively “Name and Likeness”), in and in connection with the production, distribution, advertising, publicity, promotion, exhibition and other exploitation of the Recordings, the Film, and in connection with The Directing Change Program’s products and services, an unlimited number of times, without any obligation of any kind to me whatsoever.
3. I represent that any music, images or other materials in the Recordings and the Film (and my furnishing of Pre-existing Materials, if any) are original or in the public domain and will not to the best of my knowledge (i.e., what I know or should know after the exercise of reasonable prudence) infringe upon the rights of any third party. I represent and warrant that I have all rights and authority to enter into this Waiver and Release (“Release”) and to grant the rights granted herein.
4. As used in this Release: (a) the term “Releasing Parties” means and refers to each of me, my heirs, next of kin, spouse, spousal equivalent, guardians, legal representatives, executors, administrators, successors and assigns; and (b) the term “Released Parties” means and refers to Filmmaker and the Directing Change Program and Film Contest and each and all of their respective parents, subsidiaries, related and affiliated companies, licensees, sponsors, successors and assigns, and the directors, officers, employees, agents, contractors, partners, shareholders, representatives and members of each of the foregoing entities.
5. I voluntarily assume any and all risks, known or unknown, associated with my participation in the Directing Change Program & Film Contest and actions and undertakings associated with my participation and the subsequent or simultaneous dissemination of the Recordings (collectively “my Participation”). I acknowledge that my Participation may present certain risks to me, and I hereby assume any and all risks associated therewith, including, without limitation, the risk of physical or mental or emotional injury, minor and/or severe bodily harm, and/or illness, which arise by any means.
6. I and the other Releasing Parties hereby voluntarily and knowingly, release, discharge and relinquish any and all claims, actions and lawsuits of any kind against the Released Parties related to or arising from my Participation, including, without limitation, travel to and from any location used in connection with the Film and Recordings, travel to and from the award ceremony, the making, taping, production, use, editing, distribution, licensing, and/or promoting of the Film and the Recordings and/or any portion thereof, including, without limitation, any claims, actions or lawsuits for wrongful death, negligence and/or other fault, either active or passive, personal injury, wrongful death, defamation, false light, violation of right of publicity, invasion of privacy, disclosure of embarrassing private facts, fraud, breach of contract, infringement of copyright, and negligent or intentional infliction of emotional distress.
7. I represent that I am at least 18 years of age, and that if I under 18 my parent or legal guardian has consented below.
8. I hereby agree not to assert any claim of any nature whatsoever against anyone relating to the exercise of the permissions granted hereunder.
- I agree to these terms and conditions
Participant 10
Name*
Email*
Phone*
Grade
Role*
Role in making the film (for example: actor, director, writer, etc.)
Participant 10 - How would you describe yourself? (Mark all that apply)*
- Hispanic
- White
- Black or African American
- Asian
- American Indian/Alaska Native
- Native Hawaiian/Pacific Islander
- More than one race
- Other
Participant 10 Gender Identity
- Man
- Woman
- Gender Non-Conforming
- Genderqueer/Non-Binary
- Intersex
- Transgender Man
- Transgender Woman
- Two Spirit
Age Group*
- Under 18
- 18-25
Parent Name*
Parent Email*
T-Shirt Size*
Terms and Conditions*

1. In consideration of my participation in the film that is being/has been uploaded (hereafter "Film") as part of the Directing Change Program and Film Contest, I hereby consent to the photographing, recording, or reproduction in any other manner of my likeness, voice and activities, in whole or in part, including the use of video and audio recordings and web use (hereafter “recordings”). I hereby waive any right that I may have to inspect or approve the finished audio and/or video recordings that may be used in connection herein. I understand that I will receive no monetary compensation for my participation in this production, nor may I make any monetary claim in the future for this participation.
2. Filmmaker(s) and the Directing Change Program and Film Contest shall be the exclusive owner(s) of “Film” and “Recordings” giving them the right to, without limitation, in perpetuity throughout the universe, in any and all languages, in any and all media know known or hereafter invented:(a) exhibit, broadcast, use, reproduce and license others to use as they see fit all or any part of the Film and the Recordings; (b) edit, dub, subtract from, add to or modify the Recording and the Film in any manner, combine it with any other material and/or incorporate it into other films, projects or programs; and (c) use and license others to use my name, voice, likeness, image, photograph, performance, participation, expressions, personal experiences and biographical material (collectively “Name and Likeness”), in and in connection with the production, distribution, advertising, publicity, promotion, exhibition and other exploitation of the Recordings, the Film, and in connection with The Directing Change Program’s products and services, an unlimited number of times, without any obligation of any kind to me whatsoever.
3. I represent that any music, images or other materials in the Recordings and the Film (and my furnishing of Pre-existing Materials, if any) are original or in the public domain and will not to the best of my knowledge (i.e., what I know or should know after the exercise of reasonable prudence) infringe upon the rights of any third party. I represent and warrant that I have all rights and authority to enter into this Waiver and Release (“Release”) and to grant the rights granted herein.
4. As used in this Release: (a) the term “Releasing Parties” means and refers to each of me, my heirs, next of kin, spouse, spousal equivalent, guardians, legal representatives, executors, administrators, successors and assigns; and (b) the term “Released Parties” means and refers to Filmmaker and the Directing Change Program and Film Contest and each and all of their respective parents, subsidiaries, related and affiliated companies, licensees, sponsors, successors and assigns, and the directors, officers, employees, agents, contractors, partners, shareholders, representatives and members of each of the foregoing entities.
5. I voluntarily assume any and all risks, known or unknown, associated with my participation in the Directing Change Program & Film Contest and actions and undertakings associated with my participation and the subsequent or simultaneous dissemination of the Recordings (collectively “my Participation”). I acknowledge that my Participation may present certain risks to me, and I hereby assume any and all risks associated therewith, including, without limitation, the risk of physical or mental or emotional injury, minor and/or severe bodily harm, and/or illness, which arise by any means.
6. I and the other Releasing Parties hereby voluntarily and knowingly, release, discharge and relinquish any and all claims, actions and lawsuits of any kind against the Released Parties related to or arising from my Participation, including, without limitation, travel to and from any location used in connection with the Film and Recordings, travel to and from the award ceremony, the making, taping, production, use, editing, distribution, licensing, and/or promoting of the Film and the Recordings and/or any portion thereof, including, without limitation, any claims, actions or lawsuits for wrongful death, negligence and/or other fault, either active or passive, personal injury, wrongful death, defamation, false light, violation of right of publicity, invasion of privacy, disclosure of embarrassing private facts, fraud, breach of contract, infringement of copyright, and negligent or intentional infliction of emotional distress.
7. I represent that I am at least 18 years of age, and that if I under 18 my parent or legal guardian has consented below.
8. I hereby agree not to assert any claim of any nature whatsoever against anyone relating to the exercise of the permissions granted hereunder.
- I agree to these terms and conditions

Save and Continue Later

If you have any technical issues or questions about entering, please call or email us:

Devin Saragosa-Harris: 858.324.4846 or devin@directingchange.org
Jana Sczersputowski: 858.740.4381 or jana@yoursocialmarketer.com
Stan Collins: 619.518.2412 or stan@suicideispreventable.org

Entry Form

Note: If you are entering in the monthly Hope and Justice category, you are currently on the wrong page! Please navigate to this page and fill out the entry form there. Otherwise, please fill out the form below:

2021 Entry Form

Film Information

School/Organization Information

Adult Advisor

Participant 1

I agree to these terms and conditions

Participant 2

I agree to these terms and conditions

Participant 3

I agree to these terms and conditions

Participant 4

I agree to these terms and conditions

Participant 5

I agree to these terms and conditions

Participant 6

I agree to these terms and conditions

Participant 7

I agree to these terms and conditions

Participant 8

I agree to these terms and conditions

Participant 9

I agree to these terms and conditions

Participant 10

I agree to these terms and conditions