2025 Paws and Play pet video submission
Read the Paws and Play page to learn more
https://www.mediafactory.org/pawsplay
Submission and Distribution Release Form
Name - Human
*
First Name
Last Name
Name(s) - Pet(s)
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
example@example.com
Date
*
-
Month
-
Day
Year
Date
Signature of Person Submitting
*
Is the person submitting a minor?
*
Yes
No
Parent/Guardian Name
*
First Name
Last Name
Parent/Guardian Email
*
example@example.com
Parent/Guardian Address (if different from above)
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Signature of Parent/Guardian
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.
*
Upload Your Video
*
Browse Files
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Choose a file
Or bring file in person to the Media Factory
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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.
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