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 Picture

1. KXLY ABC 4 HD & Riverpark Square Present:

   Dance with the Stars

   Grand Prize: 2 tickets to “Dancing with the Stars” on Tuesday, November 17th in Los Angeles CA., Roundtrip coach airline tickets for (2), and 3 night’s hotel accommodations!
   2nd place Prize: Two (2) tickets to the Novice Pairs Short Program on Sunday, January 17th at the 2010 US Figure Skating Championships in Spokane
   3rd place Prize: Two (2) tickets to the Novice Pairs Short Program on Sunday, January 17th at the 2010 US Figure Skating Championships in Spokane

   1. 1. Enter to Win online at contests.kxly.com. Contest begins 10/18/09 and ends 11/01/09. Winner need not be present at the drawing to win. The odds of winning will depend on the total number of entries. Riverpark Square is the official sponsor of this contest.
   2. 2. To Enter: Find a “Dancing With the Stars” poster at River Park Square (808 West Main, Spokane, WA) 10/18/09 – 11/1/09, take a picture of yourself with that poster and upload the photo at contests.kxly.com to be considered a finalist. Limit one (1) entry per person during the contest period. No mechanically or mass produced entries will be accepted. Sponsor is not responsible for incomplete, lost, late, misdirected, or illegible entries. By participating in this contest, each entrant unconditionally agrees to abide by these rules. Non-compliance with these rules may result in disqualification.
   3. 3. One [1] Grand Prize winner will be randomly drawn from the entries on Monday, November 2nd. Grand Prize winner will be contacted via phone or email from a KXLY station employee by Wednesday, November 4th. One (1) 2nd Prize winner and one (1) 3rd prize winner will be chosen on Monday, November 2nd and contacted by a KXLY station employee by Wednesday, November 4th.
   4. 4. Grand Prize winner must pick up his or her prize from the KXLY front desk no later than 5pm, November11th, 2009 or another winner may be chosen. 2nd & 3rd prize winners will be notified when their prize is available for pick-up at KXLY.
   5. 5. Employees, interns, and independent contractors of KXLY Broadcast Group, River Park Square, retail stores/businesses within River Park Square, US Figure Skating Association, and their affiliated companies, 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.
   6. 6. There will not be any substitutions or exchanges of prizes or travel arrangements without written approval from management. Hotel and travel accommodations will be made with vendors of the Sponsors' choice and are subject to applicable use restrictions.
   7. 7. All flights will leave and return out of Spokane International Airport. It is the winner’s responsibility to find transportation to and from this airport.
   8. 8. You must be 18 years or older, a legal U.S. resident, and a resident of the state of Washington, Idaho, Oregon, or Montana to be eligible to win.
   9. 9. No Purchase Necessary. Void where prohibited.
   10. 10. KXLY Broadcast Group, River Park Square, retail stores/businesses within River Park Square, US Figure Skating Association, and their affiliated companies, and associated 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, River Park Square, US Figure Skating Association, and their affiliated companies, and associated sponsors, from any liability for the failure of any third-party provider of a prize.
   11. 11. Winner is responsible for all local, state, and federal applicable taxes, all meals, all gratuities and incidental expenses arising from this contest. Approximate retail value: GRAND PRIZE: $2,050.00; 2nd & 3rd Prize: $200.00 each.
   12. 12. By participating in this contest, contestants grant KXLY Broadcast Group, Riverpark Square, US Figure Skating Association, and their affiliated companies, and associated sponsors, 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/ River Park Square contest, without any additional compensation.
   13. 13. “Dancing with the Stars” is a registered trademark of ABC.
   14. 14. Decisions of KXLY Broadcast Group/ River Park Square judges are final.
   15. 15. By participating in this contest, entrants release KXLY Broadcast Group, River Park Square, retail stores/businesses within River Park Square, US Figure Skating Association and their affiliated companies, from any and all liabilities associated with or arising in any way from the contest, including, without limitation, acceptance or use of any prize. The foregoing entities are not responsible if the prize cannot be awarded due to travel cancellations, delays, or interruptions due to acts of God, acts of war, natural disasters, weather, or terrorism. Without limiting the foregoing and to the extent permitted by law, everything regarding this contest, including all prizes, are provided "as is" without warranty of any kind, either express or implied.
   16. 16. KXLY Broadcast Group and River Park Square reserve the right to change the rules and/or discontinue the contest at any time without notice if, for any reason, the contest is not capable of running as planned or if sponsor suspects any fraud or tampering.
2. Read and Agree to the Rules? Yes