Television 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 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*Month123456789101112Day12345678910111213141516171819202122232425262728293031Year202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Citizenship (Country)*Email (all notifications are given via email)* 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” Worldwide Screenwriting Competition?*Attach your scripts in PDF. Up to 4 scripts allowed.* Drop files here or Accepted file types: pdf. Able to Travel to United States (CIRCLE ONE)*YesNoI live in USATitle of your TV Script*Check all that apply*One Hour Original ShowOriginal Half Hour ShowOriginal Reality ShowAGE 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 PLEASE NOTE: 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 Type of Script*TV ScriptTV Script Competition Entry Price: $65.00 Total Cost $0.00 REPRESENTATIONS AND WARRANTIES 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* I have read the above, and I accept the official rules and 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..