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The document is a Release of Liability and Finalist/Winner Acceptance Form for the FDNY #SmokeAlarmSelfie Contest. It requires finalists to provide personal information, accept their position, and acknowledge that failure to return the form by November 15, 2014, will result in disqualification. Participants release the City of New York and associated parties from any claims related to the contest and consent to the use of their name and likeness for promotional purposes.

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