Project Homefront Nomination Form - ABC5 News Des Moines, IA

Project Homefront Nomination Form

 

 

Nomination  Form

 

 


Personal Contact Information

 

Your Name:                                                               

[If minor: Parent/Guardian Name] 

 

Home and Cell Number:  

 

Address:   

 

Email Address: 

 

Relationship to Family:

 

Family's Contact Information

Family's Name:                                                                      

 

Address: 

 

Home or Cell Number:

 

 

  Family Description: (use as much or as little space as you need).

 

1.  Please describe the Military family you are nominating. (For example:  members,  who in family is currently serving in the military.)

 

 

 

 

 

 

 

 

 

2.  Why are you nominating this family? (Please give us as many details as possible.)

 

 

 

 

 

 

 

 

 

 

 

 

Contest Rules:

All submissions must come from within the ABC5 viewing area in order to be considered. 

If entry is submitted by a minor ( under 18)  parental/guardian consent must be provided in writing.

All decisions announced by ABC5 are final.

No purchase or donation is required to participate.

ABC5 and sponsors may use families and nominators' likeness without compensation and any materials/video collected during the run of the campaign for news/promotional purposes.   Winners must agree to participate in on-air story.

ABC5, sponsors and its employees, participating agencies, and/or organizations and their employees are released from any and all claims that may arise.

ABC5, sponsors and its employees, participating agencies, other media groups/stations and their families are not eligible to participate.

Winner will be notified upon winning how and when the prize will be distributed.

No transfer or substitution of winnings is permitted.

ABC5 management reserves the right to establish additional or change existing rules.

In case of circumstances beyond our control, ABC5 reserves the right to postpone or cancel the campaign.

Submit:

The form may be submitted by email (attach this word doc) OR U.S. mail to the address listed below.

Mail to:                                                           Email to:

ABC5                                                              pmclean@myabc5.com

3903 Westown Parkway 

Attn: Project Homefront

West Des Moines, IA 50266

Signature                                                                                              Date

 

Parent/Guardian Signature                                                                    Date

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