Entries must fill out this form completely:

1. First Name
2. Last Name
3. Address
4. City
5. State
6. Zip
7. Phone Number
8. Email Address
9. Your Date of Birth. (MM/DD/YYYY)

1. KXLY BROADCAST GROUP
   KXLY TV
   Disney On Ice
   
   Official Rules:

   1. 1. Web entry will begin October 19th, 2009 and go through November 1st, 2009. Listeners are invited to enter on the web at www.contests.kxly.com All entries must be received by midnight November 1st. One grand prize winner will be selected and will receive 4 Front Row seats tickets to Disney On Ice for Friday November 20th and will also be invited to stay for the post show. Winner must be 18 years or older.
   2. 2. Employees, interns, and independent contractors of KXLY Broadcast Group, affiliated sponsors, and employee affiliates and their immediate families and significant others or employees of participating trades are not eligible to enter or participate in the use or enjoyment of any prize.
   3. 3. Prizes are non-transferable and non-redeemable for cash. No substitutes of prize will be permitted. In addition, listeners are eligible to win ONLY ONCE per house hold and are ineligible to win another prize on the corresponding station for 14 days.
   4. 4. KXLY Broadcast Group and affiliated sponsors are not liable for the failure of any third-party prizes. When prizes involve a third-party situation, a release form will be signed by winners to release KXLY Broadcast Group from any liability for the failure of any third-party provider of a prize.
   5. 5. Winner is responsible for all local, state, and federal applicable taxes, meals, all gratuities and incidental expenses arising from this contest.
   6. 6. By participating in this contest, contestants grant KXLY Broadcast Group permission and the right to publicize and/or broadcast contestants name, character, likeness, voice, and fact that he/she has participated in or won a KXLY Broadcast Group contest without any additional compensation.
   7. 7. Decision of KXLY Broadcast Group judges are final.
   8. 8. By accepting any prize, winner releases KXLY Broadcast Group from any and all liabilities associated with said prize.
   9. 9. KXLY Broadcast Group reserves the right to change the rules or discontinue the contest at any time without notice.
2. Read and Agree to the Rules? Yes