7/30/2019 Play Submission Cover Page

1/2

Festival 2012/13Play Submission Cover Sheet

ContactDetails

Full Name

Phone

Mobile

Email

PlayInformation

Title

No of Pages ________

Brief description (50 words)

Office Use: Date Submitted:

Recommendation:

Acknowledgement and Authorisation

1. I have read the terms and conditions of the Central West Short Playwriting Festival(CWSPF) and agree to abide by these.2. My work is 30min or less in length. (Please contact us if the work is obviouslylonger than this.)3. I give permission for me/my son/my daughter to be named, photographed and filmedduring the CWSPF .These images may be used in all news media in Australia, any related

promotions on the World Wide Web and any further promotions relating to BTC, or LocalStages - Bathurst Memorial Entertainment Centre.4. As the writer/creator of the play/theatre work I give permission for the organisers topresent the play/theatre work. If I am not the writer/originator (or sole writer/originator) ofthe idea, story, script, theatre work or any material used in the creation of the theatre workit is my responsibility to gain permission from all other writers, originators or contributors topresent the work and to fulfil all conditions set by those writers, originators or contributorsto present the work.

5.Should my play/theatre work be selected for the festival performances I understand I willreceive no royalties for those performances.6. If my play is selected/performed, I give my permission to film/record/photograph it formarketing and publicity purposes. the CWSPF may also wish to use thefilm/recording/photograph of your play/theatre work for archival, marketing or publicitypurposes by using it in an unpaid public forum such as YouTube.

7. Once selected for production I may not withdraw my playscript/theatre work fromproduction for any reason without the permission of the festival Producer.8. Although the CWSPF aims to honour the playwrights/creators intentions in staging theirplay/theatre work, I understand that in order to have my play/theatre work produced myscript may need to be altered by the actors and director producing my play, due to stagingrestrictions or the play/theatre work running over 10 minutes. Directors will be asked toconsult with me on these changes either in person or via phone or email.

Name Date:

Signature I understand that in signing this declaration I am giving full consent for media participation, and if

I wish to review this I should contact the organisers of the named event at my earliestconvenience.

7/30/2019 Play Submission Cover Page

2/2

"The information on this form is being collected to allow Council to process your application and/or carry out its statutoryobligations. All information collected will be held by council and will only be used for the purpose for which it was collected.

An individual may view their personal information and may correct any errors."