I (the "Applicant") certify that my submission is my own work. Furthermore, in the event of a misrepresentation on this application, I (the "Applicant") understand that I will be deemed ineligible and any and all awards received will be revoked. I (the "Applicant") understand and agree that I am entering voluntarily and at my own risk. I (the "Applicant") hereby release the Arts Council of the Conejo Valley and the Westlake Village Art Guild, their members, board of directors and judges from claims, liabilities, damages, theft or any loss that may arise from my participation. I understand and accept that my video submission, images of visual art, and artist's statement may be publicly shared in social media, exhibited at ACCV events, and incorporated into other ACCV communications. *