Name*
First Last
Address*
Street Address Address Line 2 City State ZIP Code
Birth Date*
Date Format: MM slash DD slash YYYY
Home Phone*
Mobile Phone*
Which phone do you prefer for contact?*
Email*
Sweepstakes Consent*
I have read, understand and agree to 2019 April Member Referral Sweepstakes rules.
2019 APRIL MEMBER REFERRAL SWEEPSTAKES RULES
________________________________________
PRIZES
– One (1) $200 VISA gift card will be given away to one winner. Drawing will take place the week of May 6th, 2019.

HOW TO ENTER. Sweepstakes begins at 5:00 a.m. Central Time on April 10, 2019, and ends at 9:00 p.m. Central Time on April 30, 2019 (the “Entry Period”). To enter, online entries are acceptable, but entrants will be required to provide name, address, city, state, zip code, day and evening telephone numbers, and email address.
YMCA Members who refer individuals that activate a new membership at the YMCA of Southwestern Indiana during the entry period and who are identified as a referring member will automatically be entered into the sweepstakes.
Limit one entry per person per day throughout the duration of the Sweepstakes. Entries may be subject to verification prior to prize drawing. All entries become the property of the YMCA of Southwestern Indiana and will not be returned or acknowledged.
Neither the YMCA of Southwestern Indiana, nor any of its employees or affiliates assumes any liability for lost or misdirected entries or entries that are not received by the deadline. By completing an online entry form, properly completed, you will be entered in the Prize sweepstakes and will be deemed to have agreed to abide by these rules.

WINNER SELECTION AND VERIFICATION. One (1) Prize winner will be selected in a random drawing to be conducted the week of May 6th, 2019. The winner will be notified by telephone or email. If the prize winner cannot be reached after a reasonable effort has been made, or he or she is found to be ineligible, or he or she does not comply with these rules, such prize winner will be disqualified and, if applicable, an alternate prize winner may be selected. By entering this drawing, all winners shall be deemed to have given the YMCA of Southwestern Indiana, or anyone it chooses, the unlimited right and license to use the winner’s name, likeness and photograph for publicity purposes in all media, and without further compensation. No substitution of prizes or cash equivalents is permitted at the election of the winners. The YMCA of Southwestern shall have the right to make prize substitutions at its discretion, in which case an alternate prize shall be awarded at the discretion of the YMCA of Southwestern Indiana.

ELIGIBILITY. No purchase necessary. The sweepstakes is open to individuals who are residents of the United States and 18 years of age or older. YMCA of Southwestern Indiana membership is not required for entry in the 2019 APRIL MEMBER REFERRAL SWEEPSTAKES RULES. Employees of the YMCA of Southwestern Indiana, their respective Boards of Directors, and members of each of their immediate families are not eligible. Void where prohibited or restricted by law.

ODDS. Odds of winning depend upon the number of entries received.

ACCEPTANCE OF PRIZES. Prize must be claimed by May 31, 2019. All federal, state and local taxes, laws and regulations apply, and winner shall bear sole responsibility for paying any applicable taxes which he/she owes at time of receipt.

GENERAL CONDITIONS / RELEASE. The winners, by acceptance of the Prize, agree to release the YMCA of Southwestern Indiana and its officers, directors, agents, affiliates, suppliers, distributors, and employees from any responsibility or liability in connection with any loss, accident, or death incurred in connection with the receipt, ownership, or use of any prize. The YMCA of Southwestern Indiana does not make, nor is responsible for, a warranty or a guarantee with regards to any prize, including but not limited to a warranty of merchantability or fitness for a particular purpose. The YMCA of Southwestern Indiana reserves the right to amend, revise, and interpret these rules as it sees fit.

WINNERS. For the names of the winners, send a stamped, self-addressed envelope to: Winner Notification, 2019 APRIL MEMBER REFERRAL SWEEPSTAKES RULES, 222 NW Sixth Street, Evansville, IN 47708.
CAPTCHA