The 2012 Cynosure Screenwriting Awards
ENTRY FORM
Name ______________________________________________________________________________
Full Address__________________________________________________________________________
Email _____________________________________________ Phone ______________________
Script
Title __________________________________________________________________________
Genre ______________________________ Length
of Script (pages) _________ Category
(check one only): Female protagonist ________ Diversity________ Logline:_______________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
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: ____________
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Cynosure Screenwriting Awards * 3699 Wilshire Blvd * Suite 850 * Los
Angeles * California* 90010 * 310-855-8730
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