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Trick Your Ride Halloween Costume Contest

FamilyFun Magazine

FamilyFun Magazine

Think your wheelchair, crutches or cane keep you from rocking a truly awesome Halloween costume? No way! All over the country, people living with disabilities that require assistive devices are tricking (and treating!) them out for October 31.

One of our favorite things about Halloween is costume contests. Scariest, prettiest, best couple, most unique… we love them all! So this year, together with our friends at SPINALpedia, we’re hosting an online costume contest just for people who use assistive devices. You don’t need to be a former patient to enter, or a member of SPINALpedia. The only requirement is that you have included your assistive device in your costume in some way and that you’re willing to share your awesomeness with the world.

Here’s how it will work. You submit your photo via the online form below (no files larger than 3MB, please!), and give us the skinny on your costume. On Tuesday, October 29, your photos will be posted in special albums on the SPINALpedia and Magee Facebook pages. Here’s the really cool part. We don’t pick the winners – you do. To vote for a photo, simply like it – and get your friends and family to do the same!  And we’ve got a trick to give you a treat – you can vote on both pages.

Got some questions? We thought you might. Expand the links below to learn more. When you’re ready, submit your photo via the form below.

[dropdown_box expand_text=”How to Enter” show_more=”” show_less=”” start=”hide”]To submit an entry for the Halloween Costume Photo Contest, please fill out the form below and attach a photo smaller than 3 MB. If your photo is larger than 3 MB, or you have difficulty submitting the form, please email believe@Magee editor Kim Shrack at kshrack@mageerehab.org for an alternate entry.

To be eligible for the Halloween Costume Photo Contest, you must first consent that the photo(s) submitted may be used by Magee Rehabilitation Hospital and SPINALpedia for educational, publicity and fund-raising purposes, and is no longer be protected by the Health Insurance Portability and Accountability Act of 1996 Privacy Rule. You will be required to agree to these terms before your entry will be submitted.
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[dropdown_box expand_text=”Rules and Eligibility” show_more=”” show_less=”” start=”hide”]Photos must demonstrate ways to incorporate assistive devices in Halloween costumes. Photos may be submitted only by the entrant, or their parent or designated guardian. If any minors other than the entrant are included in the photo, we will require a separate release from their parents or guardians.

All photo submissions will be reviewed by Magee Rehabilitation Hospital and SPINALpedia prior to posting on both organizations’ Facebook page. Any photos inappropriate for the competition will not be posted or shared, and the person who submitted the entry will be notified as to the reason for the omission.

All submissions must be received no later than 11:59 p.m. ET on October 28, 2013. No late submissions will be accepted.

To be eligible for the Halloween Costume Photo Contest, you must first read and sign the Authorization below, which allows Magee Rehabilitation Hospital and SPINALpedia to use all elements of your submission (including your name, photograph(s), film or video taken of you, and any description(s) or other information (including previous illness or injury and date(s) of treatment at the Hospital, if applicable) provided by you in entering this contest for educational, publicity and fund-raising purposes, and recognizing that this information will not be protected by the Health Insurance Portability and Accountability Act of 1996 Privacy Rule, as may be amended from time to time. You will be required to sign the Authorization below agreeing to these terms before your entry will be submitted.

All photos must be the original work of the entrants and must not infringe upon the copyrights, trademarks, rights of privacy, publicity, or other intellectual property or other rights of any person or entity. If the photo contains any material or elements that are not owned by the entrant and/or which are subject to the rights of third parties, the entrant is responsible for obtaining, prior to submission of the photo, any and all releases and consents necessary to permit use of the photo by Magee Rehabilitation Hospital and SPINALpedia.

Each entrant agrees and grants Magee Rehabilitation Hospital and SPINALpedia permission to make available and display/perform and otherwise distribute entrants’ names, photo submission and any description(s) or other information (including previous illness or injury and date(s) of treatment at the Hospital, if applicable) provided in entering this contest in all media in perpetuity without compensation. Submission of an entry into this contest constitutes permission for Magee Rehabilitation Hospital and SPINALpedia to use each entrant’s name, photograph, likeness, testimonials and any description or other information provided in entering this contest in printed media, broadcast media, electronic media (including but not limited to posting on Magee Rehabilitation Hospital’s and SPINALpedia’s Facebook page, SPINALpedia.com and believe@Magee), or new media, in perpetuity, in any manner Magee Rehabilitation Hospital and SPINALpedia deem appropriate without compensation. The photographs, film, video and/or any description or other information provided in a may be redisclosed by the recipient(s) or other viewer(s) of such information, without the ability of the Hospital to control such redisclosure, and not be protected by the Health Insurance Portability and Accountability Act of 1996 Privacy Rule, as may be amended from time to time.
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[dropdown_box expand_text=”Judging and Voting” show_more=”” show_less=”” start=”hide”]This is an interactive photo contest, allowing Magee Rehabilitation Hospital’s and SPINALpedia’s Facebook fans to vote on the photo they think is best. The photos will be placed in albums on both Magee Rehabilitation Hospital’s and SPINALpedia’s Facebook pages, and those with the most combined likes at the end of the competition will be named winner.

Winner(s) will be spotlighted in posts on both believe@Magee and SPINALpedia.com. Winner(s) should be available for a brief phone interview the afternoon of October 30.
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[dropdown_box expand_text=”Timeline” show_more=”” show_less=”” start=”hide”]

  • All submissions will be accepted through 11:59 p.m. ET on October 28, 2013.
  • Voting on both Magee Rehabilitation Hospital’s and SPINALpedia’s Facebook pages will run from October 29 through 12:00 p.m. ET on October 30.
  • Winner(s) will be announced on October 31.

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[dropdown_box expand_text=”Entry Form” show_more=”” show_less=”” start=”hide”]
To submit your entry, please fill out all the information in the following form. Prior to submission, please print and save for your records.





Your Name (required)

Name of Entrant (if being submitted by parent or guardian)

Your Email (required)
Please enter email address twice to prevent errors.

Telephone Number

Brief Description of Costume(required)

Submit Your Photo

Authorization
To help Magee Rehabilitation Hospital (“Hospital”) and SPINALpedia in their efforts to promote the services/programs of the Hospital and SPINALpedia, and to raise funds for the Hospital and SPINALpedia, I hereby consent that my name, all photographs, film or video taken of me, as well as any description(s) or other information provided by me in entering this contest (including my previous illness or injury and my date(s) of treatment at the Hospital, if applicable) may be used by the Hospital and SPINALpedia for educational, publicity and fund-raising purposes.

I understand that submission of an entry into this contest constitutes permission for the Hospital and SPINALpedia to use my name, photograph, likeness, testimonials and any description or other information provided by me in entering this contest (including my previous illness or injury and date(s) of treatment at the Hospital, if applicable), in printed media, broadcast media, electronic media (including but not limited to posting on Magee Rehabilitation Hospital’s and SPINALpedia’s Facebook pages, believe@Magee and SPINALpedia.com), or new media, in perpetuity, in any manner the Hospital and SPINALpedia deem appropriate without compensation.

I have the right to revoke this Authorization in writing to the extent that the information has not already been released or to prevent further release by the Hospital and SPINALpedia, as per the Magee Rehabilitation Hospital Notice of Privacy Practices. I further understand that photographs, film, video and/or any description or other information provided by me (including my previous illness or injury and my date(s) of treatment at the Hospital, if applicable) may be redisclosed by the recipient(s) or other viewer(s) of such information, without the ability of the Hospital to control such redisclosure, and not be protected by the Health Insurance Portability and Accountability Act of 1996 Privacy Rule, as may be amended from time to time. I further understand that because I am entering a contest to have my picture(s) posted online, and for my submitted information to be used in perpetuity by the Hospital and SPINALpedia, this Authorization will not expire, unless revoked by me in writing.

NOTE: The Hospital will not condition and past, present or future patient’s treatment on signing this Authorization or entering this contest.

 Yes, I agree to the terms. No, I do not agree to the terms and would like to withdraw my submission.

Electronic Signature (required – type full name)*
*If entrant is a minor or unable to complete authorization, this should be completed by a guardian.

If entry is being submitted by guardian, please indicate your relationship with the entrant.

By clicking SEND, you are electrically signing the Authorization. You will automatically be emailed a copy of the Authorization that you signed.

Click here to print a copy of the Authorization you signed.

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Your Name (required)

Name of Entrant (if being submitted by parent or guardian)

Your Email (required)
Please enter email address twice to prevent errors.

Telephone Number

Brief Description of Costume(required)

Submit Your Photo

Authorization
To help Magee Rehabilitation Hospital (“Hospital”) and SPINALpedia in their efforts to promote the services/programs of the Hospital and SPINALpedia, and to raise funds for the Hospital and SPINALpedia, I hereby consent that my name, all photographs, film or video taken of me, as well as any description(s) or other information provided by me in entering this contest (including my previous illness or injury and my date(s) of treatment at the Hospital, if applicable) may be used by the Hospital and SPINALpedia for educational, publicity and fund-raising purposes.

I understand that submission of an entry into this contest constitutes permission for the Hospital and SPINALpedia to use my name, photograph, likeness, testimonials and any description or other information provided by me in entering this contest (including my previous illness or injury and date(s) of treatment at the Hospital, if applicable), in printed media, broadcast media, electronic media (including but not limited to posting on Magee Rehabilitation Hospital’s and SPINALpedia’s Facebook pages, believe@Magee and SPINALpedia.com), or new media, in perpetuity, in any manner the Hospital and SPINALpedia deem appropriate without compensation.

I have the right to revoke this Authorization in writing to the extent that the information has not already been released or to prevent further release by the Hospital and SPINALpedia, as per the Magee Rehabilitation Hospital Notice of Privacy Practices. I further understand that photographs, film, video and/or any description or other information provided by me (including my previous illness or injury and my date(s) of treatment at the Hospital, if applicable) may be redisclosed by the recipient(s) or other viewer(s) of such information, without the ability of the Hospital to control such redisclosure, and not be protected by the Health Insurance Portability and Accountability Act of 1996 Privacy Rule, as may be amended from time to time. I further understand that because I am entering a contest to have my picture(s) posted online, and for my submitted information to be used in perpetuity by the Hospital and SPINALpedia, this Authorization will not expire, unless revoked by me in writing.

NOTE: The Hospital will not condition and past, present or future patient’s treatment on signing this Authorization or entering this contest.

 Yes, I agree to the terms. No, I do not agree to the terms and would like to withdraw my submission.

Electronic Signature (required – type full name)*
*If entrant is a minor or unable to complete authorization, this should be completed by a guardian.

If entry is being submitted by guardian, please indicate your relationship with the entrant.

By clicking SEND, you are electrically signing the Authorization. You will automatically be emailed a copy of the Authorization that you signed.

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