SHORT FILM SCRIPT SUBMISSION FORM Name of Primary Writer (if in a group)* First Last (ADDRESS/INFO FOR PRIMARY CONTACT ONLY)Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanÅland IslandsAlbaniaAlgeriaAmerican 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 RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican 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 RicoQatarRéunionRomaniaRussiaRwandaSaint 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 IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Country Phone numberDate of Birth*Month123456789101112Day12345678910111213141516171819202122232425262728293031Year202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Citizenship (Country)*Able to Travel to United States (CIRCLE ONE)*YESNO.I live in USAEmail (all notifications are given via email)* Title of Screenplay*Is the script being submitted registered for copyright?*YESNOPlease list the name where the script copyright is submitted (if applicable, ex: WGA)*Copyright Date: (If applicable)* Date Format: MM slash DD slash YYYY How did you learn about “Your Script Produced” Screenwriting Competition?*Attach your script in PDF.* Drop files here or Accepted file types: pdf. Title of your submission*Genre Selection*Action / AdventureComedyDramaSci-Fi / FantasyThriller / HorrorIf your genre or sub-genre is not listed, please list it here*AGE DISCLAIMERIf you are only 16 or 17 years old, below the minimum requirement, you must attach here a consent letter from your parents or legal guardian. Drop files here or All sub genres will be awarded under the top 5 main category genres above.Short Film Script Competition Price: $40.00 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!” Worldwide Screenplay Competition 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 for the Film/Tv Q&A and I understand fully. To read the Official Rules To read Film Scripts Q&A To read Tv Scripts Q&A 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 you have obtained prior written authorization to act on behalf of any co-creators 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 suits;; You are submitting the Script voluntarily on a non-confidential basis; You are at least eighteen (18) years of age, 16 or 17 years of age, you understand to submit parental consent form, and I AGREE TO THE FOLLOWING* have read the above, and I accept the official rules and Film/Tv Q&A and all other guidelines of “Your Script Produced!” Screenwriting Competition. PLEASE VERIFY THE ITEMS BELOW BEFORE CLICKING SUBMIT: You attached your script(s) to the application. PDF format only. You attached parental consent form if you are of the age 16 or 17 years of old. You have chosen the correct option: ex: 1 script, 2 scripts, etc. Click submit to proceed to checkout and complete your submission and pay using PayPal checkout service.. 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