Registration Form


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Personnal informations


First name :	Last name:

Date of birth:	Gender:	F	M

Address:	City:

State/Province:	Country:

ZIP/Postal Code:

Phone number:	Email address:


Video clip


Video clip title:		Length of the clip:


What is the message of your video clip?


I have read and agree with the rules of the Festival.

I authorize the organizors to use my video clip, free of copyright, for exclusively educational and non-lucrative purpuses.




Video clips must be mailed to: International Secretariat for Water 7, rue de la Commune Ouest #203 Montréal, Qc Canada, H2Y 2C5