Media Campaign Form

Take Back Your Yard Bingo Entry Form

Congratulations! You have gotten three in a row on your Take Back Your Lawn Bingo card. Please complete the form below and include documentation that you got bingo. Take a photo or short video clip of your completed action from the bingo card. Be sure to have documentation of all three actions completed before you submit. We will be in touch to let you know if you were one of the first 50 submissions.

Submissions are limited to one per household.

* Indicates required field

Name *

First

Last

Phone Number *

Email *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Upload File *

Max file size: 20MB

Upload File *

Max file size: 20MB

Upload File *

Max file size: 20MB

Upload File *

Max file size: 20MB

Upload File *

Max file size: 20MB

Upload File *

Max file size: 20MB

Upload File *

Max file size: 20MB

Upload File *

Max file size: 20MB

Upload File *

Max file size: 20MB

How did you find out about the Take Back Your Lawn Bingo? *

By submitting this form and submitting supporting documentation (photos) that I participated in the 2023 Take Back Your Lawn Bingo. I fully understand that the Regional Storm Water Collaborative (RSWC), further known as the RSWC, partnering agencies and the Cincinnati Zoo and Botanical Garden has the right to accept or reject all entries submitted. I hereby grant the RSWC, Cincinnati Zoo and Botanical Gardens and all partnering agencies, its officers, employees, agents the right to copyright, use and publish all photos and documents submitted for the Take Back Your Lawn Bingo. All documents and participant photos may be duplicated in print, audio, video, or digital form, to share with partnering entities, and/or share/post electronically via social marketing sites, such as, but not limited, to Facebook, Twitter, and YouTube. I agree that the RSWC, partnering agencies and the Cincinnati Zoo and Botanical Garden may use said documents and images with or without my name and/or child’s name and for any lawful purpose, including but not limited to such purposes as publicity, illustration, advertising, and Web content. I fully I understand and agree that I shall receive no compensation for the taking or use of said images and have no right to review or select/reject any of same prior to the uses described herein.

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Take Back Your Yard Bingo Entry Form

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