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Script
Submittal Form
Fill out the
form below and send along with the scripts to be submitted. Only
1 or 2 scripts per school per year will be accepted.
Teacher's Name:___________________________________________________________
School Name:______________________________________________________________
School Address
(street, city, state, zip):_____________________________________________________
Teacher's email
address:_____________________________________________________
Phone: (______)
_________________________
Date submitted:__________________________
Student information:
| Student
Name: |
Name of
Script: |
| 1.
|
1.
|
| 2. |
2.
|
Terms and Conditions:
- All scripts
and accompanying materials submitted become the property of Old
Segundo Productions and will not be returned.
- Scripts may
or may not be selected for production. Submittal does not guarantee
production.
- The teacher
agrees to serve as facilitator for communicating between the listed
student(s) ,their parents, and Old Segundo Productions.
- No monetary
compensation will be paid to the teacher, students, students'
families, the interviewees, or the interviewee's family for the
intellectual property represented in the submitted scripts. In
addition, no future compensation from any production based on
the script will be paid.
- If the script
is produced, the teacher, student, and interviewee will be listed
in the credits of the production.
- Your signature
below indicates you have read and agree to the listed terms and
conditions.
Teacher's Signature:_________________________________________
Date:___________
Script #1 Student
Signature:___________________________________Date:___________
Script #1 Parent
Signature:____________________________________Date:___________
Script #2 Student
Signature:___________________________________Date:___________
Script #2 Parent
Signature:____________________________________Date:___________
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