By submitting this form, you agree and understand the following:
1) If you are selected for any of the drawings you will be required to submit proof/verification of mammogram to claim your prize.
2) If you are selected for any of the drawings you will be required to show a valid photo ID to claim your prize.
3) If you are selected from monthly or quarterly drawings, you still qualify for the main drawing.
4) Mammograms must be done between January 1, 2019 and December 31, 2019. You must register by Dec. 31, 2019
5) If you are over the age of 55 and had a mammogram in 2018 and aren't due until 2020, you are eligible and must register
6) If you are selected for any of the drawings, you agree to videography, photography and interviews to be posted where we see fit (ie social media, newpapers etc)
7) If you are selected for any of the drawings, you agree to have your name and photo on materials related to this challenge without further compensation other than the prize.
8) We value your privacy, no personal identifying information will be shared or sold with any organization without your expressed written consent.
9) We respect and honor HIPPA, medical identifying information will not be shared with any organization.
Questions, comments, concerns please email: firstname.lastname@example.org