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Register for our contest by filling out the form below. Registration is required for voting.
 
General Information
 
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    By participating in this Contest, I give the Released Parties, without additional financial or other compensation, the right to use my name, likeness, photo, video, portrait, recorded voice and biographical material, for any purpose whatsoever, including any efforts to advertise, promote or publicize the Station, its licensee, the Contest, or any advertisers or co-sponsors associated with the Contest and their products and services.
 
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    I hereby represent that I am 19 years of age or older or I am the parent and/or legal guardian of the minor child identified below and that I have read and fully understand this release prior to agreeing to it and execute this release on behalf of my minor child.
 
Parent or Guardian Name: 
 
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