Registration – CEG Comedy Writers Program Registration Registration - CEG Comedy Writing Program Please complete the following steps for registration: APPLICANT INFORMATION Applicant Name * Street/Mailing Address City/State * State * Zip * Country Origin of Citizenship * Email Primary phone number * Secondary phone number Are you currently employed? * Yes No If yes, please provide employment information Employer Title/Position Mos./yrs employed Other applicable credits Related links to work Are you currently a church member? Yes No Regular Attender OtherOther If yes, since when? Church name Location Pastor or reference contact info Are you a WGA member? * Yes No If yes, since when? Do you identify primarily as a (choose one) Comedian Comedic writer Dramatic writer OtherOther Were you referred to the CEG Comedy Writing Program? If so, please provide information below. Referred by Title/Position Company/Affiliation Have your ever done volunteer work for Christian Entertainment Guild? * Yes No OtherOther If yes please describe dates & service I would like to submit a writing sample for future reference (optional) Drop a file here or click to upload Choose File Maximum upload size: 516MB I would like to submit a writing sample for future reference Drop a file here or click to upload Choose File Maximum upload size: 516MB I would like to submit my resume (optional) Drop a file here or click to upload Choose File Maximum upload size: 516MB Signature * Date CEG Comedy Writing Program Release Agreement (Hard copy must also be turned in prior to writer assignments) CEG | Christian Entertainment Guild, 31324 Via Colinas, Suite 114, Westlake Village, California 91361 Dear Sir or Madam: In support of my application to the 2018 CEG Comedy Writing Program (“Program”), I wish to submit to the Christian Entertainment Guild (“CEG”) an original treatment, script, synopsis, summary and all materials and documents that may be submitted to you with respect thereto, including all ideas and their expression as contained therein (collectively, the “Materials).” I appreciate and understand your concern that an examination of the Materials without a full release of liability might expose you to a claim of copyright infringement, idea theft, or claimed existence of an implied in-fact contract or other claim or litigation. Therefore, in consideration of your review of the Materials, I hereby acknowledge the following understandings and conditions: 1. I have created and am submitting the Materials voluntarily. CEG and/or its directors, officers, employees, contractors, volunteers, subsequent assignees, and affiliate entities (“CEG Affiliates”) have not hired or otherwise retained me, in any way, to create or submit the Materials. I understand that I will not receive any compensation for creating and submitting the Materials; 2. I understand and agree that CEG will make decisions regarding participation in the Program in its sole discretion. I understand that I may not be selected for the Mentorship Semi-Finals or Finals of the Program and that by submitting the Materials, I am not guaranteed to be part of the Mentorship Semi-Finals or Finals of the Program or any future programs of CEG or the CEG Affiliates; 3. I understand that CEG and the CEG Affiliates engage in extensive activities in creating, acquiring and developing various forms of literary, artistic, musical, animated, digital and other projects, which include, among other things, the development of stories, ideas, scripts, treatments, synopsis and concepts for attractions, motion pictures and television projects. In addition, I recognize that the material created, acquired and developed by CEG and/or the CEG Affiliates may contain elements that are similar and/or identical to the Materials; 4. I represent and warrant that I am the sole owner of the Materials, and have the right to submit the Materials; 5. I represent and warrant that the Materials are my original work, and the Materials do not violate any law or regulation or infringe on any right of any third party, including, but not limited to, rights of copyright, publicity and privacy; 6. I waive any right I may have to assert against CEG and/or the CEG Affiliates any claim based on copyright, trademark, infringement, confidential relationship, implied contract, unfair competition, idea theft or otherwise arising out of any alleged use by CEG and/or the CEG Affiliates of the Materials, or any element thereof; 7. I understand and agree that any copy of the Materials that I submit to you will not be returned to me and may be destroyed. I assume full responsibility for any loss, theft, destruction or any other disposition of any such copy while it is in your possession or in transit; 8. I understand that CEG is accepting the Materials based on and relying on the release set forth above; and, 9. This release will be governed by the applicable, internal laws of the State of California. My Address * My Address My Address My Address City City State/Province State/Province Zip/Postal Zip/Postal Country Afghanistan Aland Islands Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bonaire, Sint Eustatius and Saba Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Bulgaria Burkina Faso Burundi Côte d'Ivoire Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Cook Islands Costa Rica Croatia Cuba Curacao Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands (Malvinas) Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Heard Island and McDonald Islands Holy See Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Isle of Man Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Kosovo Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island North Korea Northern Mariana Islands Norway Oman Pakistan Palau Palestine Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Reunion Romania Russia Rwanda Saint Barthelemy Saint Helena, Ascension and Tristan da Cunha Saint Kitts and Nevis Saint Lucia Saint Martin (French part) Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Sint Maarten (Dutch part) Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia and the South Sandwich Islands South Korea South Sudan Spain Sri Lanka Sudan Suriname Svalbard and Jan Mayen Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States United States Minor Outlying Islands Uruguay Uzbekistan Vanuatu Vatican City Venezuela Vietnam Virgin Islands, British Virgin Islands, U.S. Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe Country Please complete the following: Complete this application Go to the CEG website menu and pay at "shop" I would like to make a donation to support another participant in this workshop I would like to make a donation towards the production costs in the making of the pilot for this workshop I would like to apply for financial aid Signature Printed name * Date Time 121234567891011 : 0030 AMPM reCAPTCHA Submit If you are human, leave this field blank.