Name(s) _______________________________________________________________

Title of Screenplay ____________________________________________________

Address _____________________________________________________________

City _________________________________________________________________

State/Prov. ________________________________ ZIP/PC ____________________

Country ______________________________________

Phone ( __________  ) ________________________________

Email ________________________________________________________________

High School/College Attending: _____________________________________________________

Degree/Major: ________________________________________________________
* To be eligible for the special high school or college discount entry, you MUST BE a full-time high school, undergraduate or 
graduate student AND include a photo copy of your current ID with your entry. Without a current ID 
your entry will be invalid. If there are co-writers on this script entry, all writers must be high school/college
students, otherwise, you must use a regular entry form and pay the regular entry fee.

Entry Fee: (Postmarked prior to October 31, 2008)

______ $25 Full-time student

Entry Fee: (Postmarked November 1 - 30, 2008)

______ $35 Full-time student

Method of Payment: 

____ Check or money order enclosed (U.S. funds drawn on U.S. bank; payable to Gotham Writers Workshop)

Charge my:
______ VISA 
______ MasterCard

Card No. _____________________________________________________

Exp. Date ________/ __________

Signature _____________________________________________________ 

My Signature Below Attests:

1. To my agreement to hold the American Screenwriters Association and Gotham Writers' Workshop, Inc. harmless from and defend themselves against all claims, demands, losses, costs, damages, judgments, liabilities and expenses (including attorney 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 American Screenwriters Association and/or Gotham Writers’ Workshop, or any screenplay developed of such stories.

2. That the American Screenwriters Association and Gotham Writers' Workshop, Inc. shall be held harmless against any claims pertaining to submitted scripts or their content if unauthorized parties should use them. The material submitted shall be used for the purposes of judging the International Screenplay Competition.

Reminder: A complete entry form must accompany each manuscript entered in the competition. If multiple writers are submitting a screenplay, EACH writer must sign the entry form below!

________________________________________________                      ________________________________________________
    Signature of Student Writer(s) Submitting Screenplay                          Signature of Student Writer(s) Submitting Screenplay

________________________________________________                      ________________________________________________
        Signature of Parent or Guardian of Under 18                                          Signature of Parent or Guardian of Under 18

________________________________________________ 
                                    Date