Release of Liability and Prize Acceptance Form - nyc 2025

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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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Click ‘Get Form’ to open it in the editor.
Begin by entering your name in the designated field. This is essential for identifying your entry in the #SmokeAlarmSelfie Contest.
Next, fill in your address, phone number, and email address. Ensure that all contact information is accurate for any necessary communications regarding the contest.
Read through the acceptance statement carefully. Confirm your understanding of the terms regarding disqualification and responsibilities related to expenses.
In the release section, acknowledge that you are releasing liability by signing your name. This indicates your agreement to the terms outlined.
If required, have a notary public witness your signature and complete their section on the form to validate it.
Finally, review all entered information for accuracy before submitting the completed form by November 15, 2014.

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