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Times Square Video Submission
Thank you for submitting a photo of yourself/your loved one with Down syndrome for the 2024 Times Square Video presentation on September 7, 2024 at 9:30am ET! Please complete the form below and upload your photo. Please note that ONLY ONE photo per individual with Down syndrome can be submitted to the contest. You must check the box at the bottom of the page providing NDSS with consent to use your photo in order to be considered for the Times Square Video Presentation. Submissions will close on June 4, 2024 at 11:59 ET. You will be notified by July 8, 2024 if you are chosen.
Name of individual with Down syndrome in the photo
*
First Name
Last Name
Date of birth of individual in the photo
*
-
Month
-
Day
Year
Date
Name of person filling out the form
*
First Name
Last Name
Address of person filling out the form
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Best phone number for updates or questions
*
-
Area Code
Phone Number
Best email for updates or questions
*
example@example.com
Confirm your Email
*
example@example.com
Has a photo of you/your loved one been selected for the Times Square Video in the past?
Yes
No
If you answered yes, when was the last time that you/your loved one appeared in the Times Square Video?
Please Select
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012 or before
Year
Have you/your loved one applied for the Times Square Video in the past and never been selected?
Yes
No
If you answered yes, how many times have your/your loved one's photo been submitted?
Number of years
If your photo is selected for the 2024 Times Square Video presentation, would your like your photo included in the NDSS 2025 Faces of Times Square calendar, which will be for sale in the fall?
*
Yes
No
Photo Submission
*
Please submit as high a quality photo as you can.
"I have the rights to share this photograph and hereby give the National Down Syndrome Society permission to use this photograph of me or my dependent/minor child in the video production to be shown in Times Square and other NDSS promotional and educational materials. I understand that the photo will become property of NDSS and will be credited to NDSS for all journalistic purposes. I also give permission for this photo to be used by media outlets and/or other organizations approved by NDSS for positive public awareness, marketing, ads or journalistic purposes." By selecting yes, you have read and accepted the above Terms and Conditions.
*
Yes
Submission Fee
*
prev
next
( X )
USD
To help cover the costs associated with production of the Time Square Video, we require a small photo submission fee. Your fee will help us continue to manage this exciting opportunity. We welcome any additional donations at give.ndss.org
Credit Card
Is there anything else you would like for the selection committee to know before you submit this photo?
Has the individual in the photo passed away?
Yes
No
If yes, would you like us to add "in memory of" on the photo for the final video?
Yes
No
Please sign me up for the Monthly NDSS Email Newsletter
Yes
Submit
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