ENTRY FORM
(Please print this page.)
Name ________________________________________________________________
FULL Address ________________________________________________________
Email ________________________________
Phone _________________________
Script Title ____________________________________________________________
Genre __________________________ Length of Script (pages) ______________
Category (check one only): Female
protagonist ________ Diversity________
Synopsis (use the space
provided only):
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
How did you hear about
this competition? ____________________________________
RELEASE
I/we
are the author(s) of the screenplay, titled above, which I/we herewith submit to the Cynosure Screenwriting Awards (the "Competition").
I/we are the sole exclusive owner(s) of all rights hereto and I/we have full right and authority to submit the screenplay
to you. I/we will indemnify the Competition and its Judges and hold them harmless and defend them against all claims, demands,
losses, costs, damages, judgments, liabilities, and expenses (including attorneys' fees) arising out of or in connection with
any and all claims of third parties, whether or not groundless, based on any stories submitted to the Competition or any screenplay
developed out of such stories. I/we understand that the Competition accepts no liability whatsoever for non-receipt or loss
of my/our screenplay and I/we hereby agree to remain fully liable in connection therewith. I/we further understand that the
Competition will not return, and is not obligated to return, my/our screenplay (or any other materials submitted to the Competition)
to me/us. I/we hereby agree to abide by the decisions of the judges of the Competition with regard to the Competition. I/we
hereby grant the Competition the nonexclusive right to use my/our name(s), photograph(s), and likeness(es) in connection with
any and all publicity and promotional activities regarding the Competition. I/we have read, understood and complied with all
guidelines and rules herein, and failure to do so may result in disqualification.
Signature:
__________________________________ Date: ____________
Signature:
__________________________________ Date: ____________