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I,____________(name: enter above)___________________of____________________(address: enter above)__________________________ acknowledge receipt of the $50 Bowled e-gift card (the "Prize") in connection with the WNYT-TV, LLC NewsChannel13 "Bowled Me Over Comment of the Week" Sweepstakes ("Sweepstakes").

I acknowledge receipt of the above-listed Prize and accept the same as a winner in the above-named Sweepstakes recently conducted by WNTY-TV, LLC ("Sponsor"). I affirm and represent that I have complied with all of the official rules of the Sweepstakes, including, but not limited to, any restrictions on age and/or residency, and have not committed any fraud or deception in entering the Sweepstakes or claiming the Prize. I further affirm and represent that I am not an employee or agent of the Sponsor, or any sponsor of the Sweepstakes and am not a member of the same household of any such employee or agent.

In consideration of my receipt of the Prize, I agree to be solely responsible for any and all taxes and/or other fees, including, but not limited to, any federal state or local income taxes, that are or may become payable as a result of my participation in the Sweepstakes and/or receipt of the Prize. I further agree to allow the Sponsor, Administrator, and their respective designees the right to use my name, likeness, portrait, recorded voice and/or biographical material, including but not limited to the Photo I submitted in connection with the Sweepstakes, for an unlimited period of time in order to advertise, promote or publicize Sponsor and/or the services of any of its designees.

I forever release and hold Sponsor, Hubbard Broadcasting, Inc., Bowled and their respective directors, officers, employees, volunteers, agents, contractors, parents and subsidiaries and representatives (collectively, "Releasees") harmless from any and all actions, claims, or demands that I, my assignees, heirs, guardians, next of kin, spouse and legal representatives now have, or may have in the future, for claims for libel or invasion of privacy, injury, death, or property damage, related to (i) my participation in the activities in connection with Prize, and (ii) the negligence or other acts, whether directly connected to these activities or not, and however caused, by and Releasee. I also agree that I, my assignees, heirs, guardians, next of kin, spouse and legal representatives will not make a claim against, sue, or attach the property of any Releasee in connection with any of the matters covered by the foregoing release.

I acknowledge and agree that the Sponsor has not made any warranties of any kind with respect to the Prize, including but not limited to, any warranties of merchantability or fitness for a particular purpose. Station hereby expressly disclaims any and all such warranties.

I further expressly waive and relinquish any rights and benefits arising from the laws or statutes of any jurisdiction that limit the validity of a General Release forgiving claims neither known nor suspected to exist at the time the Release is executed, even if knowledge of the unknown claim would materially affect my decision to execute such a General Release. I hereby attest that I am not an employee of Sponsor, Hubbard Broadcasting, Inc., Bowled, nor their respective agencies, nor is any member of my immediate family. I agree that this Release shall be binding upon me and my heirs, legal representatives, successors and assigns.

This Release is made and entered into effective as of this ___(enter above)___ day of __________(enter above)___________, 2021.

Winner's Signature: __________________(enter above)_____________________

Winner's Date of Birth:___(enter above)__/__(enter above)___/__(enter above)____