Prize Release Forms

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					      2009 Distracted Driving
         Awareness Day
• A Statewide Initiative
• Funded by the DMV: The Virginia
  Highway Safety Office
• Supported by more than 100 partners
• Goal is to raise awareness about distracted
• Current date is April 29, 2009
Ways that you can help……
                • Sign up your school to
                  be a DDAD partner
                • Post materials and
                  organize activities for
                  the week
                • Promote our DDAD
                  Poster/Video Contest
Contest Specifics – Who Can Enter

• To be eligible to participate in this
  contest, entrants must be Virginia
  residents who are enrolled in high
Contest Specifics – Poster and PSA

• Top entries in each category will receive
  $500 (Prize money provided by DRIVE
  SMART). Other finalists will receive prize
  awards as donated by our member
• The award-winning poster and PSA will be
  distributed throughout Virginia to help
  promote Distracted Driving Awareness Day
Contest Specifics - Poster and PSA
• Each contestant may submit one entry, whether it
  be art or video

• The deadline for entry submission is November
  28. All entries must be postmarked or received in
  hand by 5:00 pm November 28. We will not be
  responsible for lost, late or misdirected mail or for
  printing errors, server unavailability, computer or
  any other electronic malfunction.
Contest specifics – Poster and PSA
• All entries become the property of DRIVE
  SMART Virginia and will not be returned.

• To enter visit and
  print out and complete the entry form and
  release. Mail your completed entry form
  and submission to DRIVE SMART
  Virginia, 1805 Monument Avenue, Suite
  305, Richmond, Virginia 23220.
Contest specifics – Poster and PSA
• All entries received that are mutilated,
  tampered with, illegible, or from
  ineligible entrants will be void.

• By entering, entrants represent that the
  submission is their own original work
  and does not violate the rights of any
  third parties.
Poster Contest Specifics
• Only original artwork will be considered.

• Copyrighted Images/Subjects: Original signed
  release forms are required for copyrighted images
  or materials. Release forms are also needed for
  "subjects," whether public or private citizens.

• Artwork: Poster should be 11 x 17 in size. The
  poster must include the words Don’t Drive
  Distracted and DRIVE SMART’s website address
More Poster Specifics
• Electronic entries will not be accepted.

• Mounted, frames or laminated entries will not be

• Category winners may be asked for additional
  materials including a high-resolution .jpg of the
  poster. Computer-generated poster winners will be
  asked to send a disk or CD of all poster files. DO
  NOT include a disk with your poster entry.
Video Contest Specifics
• To enter, entrants must produce (write, shoot and
  edit to final production) their own twenty (:20)
  second public service announcement (“PSA”). The
  PSA must be exactly :20 in length and provide
  educational messages designed to raise awareness
  about the dangers of distracted driving.

• Entries must be submitted in mini-DV tape or
  DVD format only. No other formats will be
More Video Contest Specifics
• Entrants are responsible for submitting as part of
  their entry an Appearance Release form for any
  and all participants appearing in the PSA.
  Participants who are under 18 years of age must
  each have a parent or guardian sign the
  Appearance Release form.
• By entering, entrants represent that the PSA is
  their own original work and does not violate the
  rights of any third parties. Entrants cannot use
  copyrighted music in the PSA; only original or
  uncopyrighted music.
Judging of the Entries
•    Entries will be judged by a
    panel of judges comprised of
    representatives of DRIVE
    SMART Virginia member
    companies, the Virginia
    Department of Education, and
    the appropriate medium experts
Pieces will be judged on:
• Overall impact: does this piece deliver an effective
  message? (Focus on ability to change behavior, provide
  information, draw emotions, and be sharp and focused)

• Originality: is this a new and original concept, idea or
  format? (25%)

• Artistic style and talent: is this a high quality piece? Does
  it reflect great talent? (25%)

• In the event of a tie, the judges will make the final decision.
Right to Edit
• DRIVE SMART may edit the entries
  to accommodate space confines or to
  accentuate or define existing art.
  DRIVE SMART reserves the right to
  edit, crop or alter the piece without
  notification to or approval by the
  entrant. DRIVE SMART also reserves
  the right to reject all submissions for
  the final poster and/or PSA piece.
• DRIVE SMART reserves the right to select up to four
  finalists for each medium. The winner will receive $500.
  Remaining finalists will receive an assortment of items as
  donated by member companies.

• The finalists will be notified by phone. Finalists must sign
  and return a release and affidavit of eligibility, which must
  be received within two (2) days of notification. If a finalist
  is a minor, then the finalist’s parents or guardian must sign
  a release and affidavit of eligibility before the finalist
  receives his or her prize. Finalists must show picture
  identification to claim prizes.
More prize information
• If finalist does not timely return the affidavit of eligibility,
  the prize will be awarded to an alternate finalist.
• There will be no substitutions or cash alternatives for
  prizes except at the sole discretion of DRIVE SMART,
  who has the right to substitute a prize of similar value. No
  transfer or assignment of prizes is allowed.
• DRIVE SMART is not responsible for any liabilities
  arising directly or indirectly from the award or use of the
• In claiming your prize, you acknowledge that DRIVE
  SMART has the right to publicize your name, character,
  likeness, photograph, voice and the fact that you are the
  finalist and/or winner for promotional purposes without
  financial remuneration.
Other Tidbits
• Complete contest rules are available at

•   A list of prize winners will be published at

• This contest is subject to all applicable laws and regulations and is
  void where prohibited. DRIVE SMART accepts no responsibility or
  liability in connection with any injuries, losses or damages of any kind
  caused by or resulting from the acceptance, possession or use of any
  prize awarded hereunder.

• DRIVE SMART cannot be held liable for any lost or stolen entries,
  prizes or contest information.

• DRIVE SMART reserves the right to make rules and contest changes
  and change the aforementioned contest dates.

Description: Prize Release Forms document sample