PILOT SUBMISSION FORM Name of Writer(s)Name of Primary Writer* First Last Name of 2nd Writer First Last Name of 3rd Writer First Last Name of 4th Writer First Last (BELOW INFORMATION FOR PRIMARY CONTACT ONLY)Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Phone numberDate of Birth*Month123456789101112Day12345678910111213141516171819202122232425262728293031Year2022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Citizenship (Country)* Able to Travel to United States (CIRCLE ONE)* YES NO. I live in USA Email (all notifications are given via email)* Is the script being submitted registered for copyright?* YES NO Please list the name where the script copyright is submitted (if applicable, ex: WGA) Copyright Date: (If applicable) MM slash DD slash YYYY How did you learn about “YOUR SCRIPT PRODUCED! STUDIOS?* SCRIPT FORMAT: PILOT 2021Title of Script* Format* 1/2 Hour Hour Genre Selection*Action / AdventureThriller / HorrorSci-Fi / FantasyComedyDramaAnimationIf your genre or sub-genre is not listed, please list it here* LOGLINEAttach your script(s) in PDF format.* Drop files here or Select files Accepted file types: pdf, Max. file size: 32 MB, Max. files: 4. AGE DISCLAIMERPARENTAL CONSENT FORM - (IF UNDER 18) MUST SUBMIT A PARENTAL CONSENT FORM INDICATION YOU HAVE PERMISSION TO SUBMIT YOUR SCRIPT, PARENTAL NAME PRINTED AND SIGNED. NOTARIZED CONSENT FORM PREFERRED BUT NOT MANDATORY. Drop files here or Select files Accepted file types: pdf, Max. file size: 32 MB. All sub genres will be awarded under the top 5 main category genres above.Script Entry Options*Pilot+ ResubmissionPilot Submission Only2 Pilot Scripts DiscountPilot + Resubmission Entry Price: Pilot Submission only Price: 2 Pilot Scripts Discount Price: Total Cost $0.00 Entry to this contest is void where prohibited or restricted by any Federal, State, Local, or other Law I understand failure to adhere to “Your Script Produced!” Studios official rules, policies and procedures will result in disqualification with no refunds. AS THE SOLE OWNER AND AUTHOR OF SUBMITTED MATERIAL, I FULLY ATTEST THAT THE FOLLOWING IS TRUE AND CORRECT. I have fully read, understand, Agree and fully comply with the official rules of the competition. I have read the entire content of the Official Rules and fully comply and agree. YOU HEREBY WARRANT AND REPRESENT THE FOLLOWING: You are the exclusive owner and sole author of the script, such that the script is your original creative work and your submission thereof will not infringe, misappropriate or violate the intellectual property, privacy, or other rights of any third party; and/or have obtained prior written authorization to act on behalf of any co-creators of the script and have the power of attorney or written approval to be able to transfer rights of the script; There are no threatened, pending or current claims, actions or lawsuits in connection with the script and you agree to notify competition immediately upon your notification of any such claims, actions or lawsuit. You are submitting the script voluntarily on a non-confidential basis. You are at least (18) years of age or older. Anyone under 18 years of age, you understand you must submit a parental consent form, notarized, if possible, but not a must. If more than (1) one party signs this agreement as submitter, then reference to “I” or “me” throughout this agreement shall apply to each party, jointly and severally. I AGREE TO THE FOLLOWING* I have read the above and I accept the official rules and all other guidelines set forth By “Your Script Produced! Studios referred to here as “Competition”. BEFORE SUBMITTING YOUR SCRIPT, PLEASE MAKE SURE: You attached your script in PDF FORMAT. You attached parental consent form if you are under the age of 18. You understand you can choose either script only or script PLUS resubmission where you can resubmit same script But an updated draft before deadline. MUST EMAIL Support@YourScriptProduced.com to receive a fee waiver for resubmission. Click submit to proceed to checkout and complete your submission and pay using PayPal checkout service..