[INSERT CONTEST/SWEEPSTAKES NAME]

OFFICIAL RULES

[IMPORTANT REMINDER: REMEMBER TO MODIFY ALL LANGUAGE APPEARING IN BRACKETS AND, AFTER READING AND ADDRESSING, DELETE ALL LANGUAGE APPEARING IN RED BEFORE PUBLICIZING THESE RULES.]

NO PURCHASE NECESSARY TO ENTER OR WIN. A PURCHASE WILL NOT INCREASE YOUR CHANCE OF WINNING. [NOTE: Promotions should not require any payment or purchase to enter unless you have consulted with Gray’s outside counsel at at least two weeks in advance. Because of even greater legal risk associated with contests involving payment or purchase requirements, stations located in Arizona, Colorado, Iowa, Louisiana, Maryland, Nebraska, North Dakota, or Tennessee cannot require consideration in any Promotion under any circumstances. Stations in Georgia, Minnesota, and Texas cannot run contests involving payment or purchase even if there is free alternative means of entry, and other stations must consult with Gray’s outside counsel before running these kinds of contests.]

This local contest is presented by [STATION CALL SIGN] (“the Station”) in conjunction with UPICKEM PRO FOOTBALL CONTEST (“National Contest”), presented and sponsored by Second Street Media, Inc. Your entry and participation in this local contest serves as your entry and participation in the National Contest; you only have to enter once. Second Street Media, Inc., and not the Station, is solely responsible for the administration of the National Contest, including the selection of winners and awarding National Contest prizes, and for selecting winners of the local contest.

1. PROMOTION DATES

a. The [CONTEST NAME] (“Promotion”) will begin on September 1, 2015 at 12:01 am ET and end on [MONTH] [DAY], 201[ ]. [THE END DATE IS THE DATE ON WHICH THE STATION WILL NOTIFY WINNERS] The deadline for entries is five (5) minutes prior to the start time of each NFL pro football regular season and playoff game. The first pro football regular season game is scheduled to be played on September 8, 2016 and the final pro football regular season game is scheduled to be played on January 1, 2017. The first pro football playoff game is scheduled to be played on January 7, 2017 and the final pro football game is scheduled to be played on February 5, 2017. Game dates and start times are determined by the NFL.

2. ELIGIBILITY RESTRICTIONS

a. The Promotion is open to all legal residents of the United States and the District of Columbia (except NY and FL) who are [INSERT REQUISITE AGE (e.g., “19” in Alabama and Nebraska; “21” in Mississippi and “18” in all other states] years of age or older at the time of entry and who live in [LIMIT GEOGRAPHIC AREA (FOR EXAMPLE, LIMIT ENTRANTS TO RESIDENTS OF COUNTIES COVERED BY STATION’S SERVICE AREA/NIELSEN DESIGNATED MARKET AREA, VIEWING AREA OR STATE(S). If you use DMA or viewing area, must include the name of counties.)]. Employees of [STATION(S) CALL SIGN(S)] (the “Station”), its parent, subsidiary, and affiliated entities, its advertising agencies, participating sponsors/promotional partners, other broadcasting stations in the [INSERT NAME OF DMA, STATE(S), OR VIEWING AREA], and the members of their immediate families (spouse, parents, siblings or children) or households (whether related or not) are ineligible to participate or win. This Promotion is subject to all applicable federal, state, and local laws and regulations. Void outside the United States, in NY and FL, as applicable, and where prohibited. [FLORIDA MARKET STATIONS MAY DESIGNATE FLORIDA RESIDENTS AS ELIGIBLE; HOWEVER IF AN AGGREGATE OF $5,000 IN LOCAL PRIZES IS OFFERED – YOU MUST CONSULT WITH LEGAL COUNSEL AT LEAST 3 WEEKS BEFORE YOUR CONTEST LAUNCH DATE BECAUSE REGISTRATION AND BONDING MAY BE REQUIRED AND TAKE TIME TO COMPLETE.]

b. One entry per person.

c. The Promotion is a local contest.

i. Because it is a local contest, entrants compete for the local prizes specified in Section 4 of these rules against other entrants who meet the eligibility requirements specified in Section 2.a of these rules.

ii. Entrants in the Promotion are automatically entered into a separate, National Contest run and administered by Second Street Media, Inc. Official Rules governing the National Contest are set forth above. The Station will not award prizes for the National Contest. You may win a prize in both the National Contest and this local Promotion, depending on your score. You will be notified separately by Second Street Media, Inc. if you have won a prize in the National Contest. The Station is not responsible for the administration of the National Contest or the award of National Contest prizes.

d. Entrants are required to provide truthful information and the Station will reject and delete any entry that it discovers to be false or fraudulent. The Station will disqualify any entry from any individual who does not meet the eligibility requirements, and will also delete any entry as required by law.

3. ENTRY

a. To participate in the Promotion, you may enter via the following method(s):

VIA INTERNET – [IF YOU WILL ALLOW PARTICIPANTS TO REGISTER WITH THEIR FACEBOOK ACCOUNT, DELETE JUST THE RED BRACKETS. IF YOU WILL NOT ALLOW PARTICIPANTS TO REGISTER WITH THEIR FACEBOOK ACCOUNT, DELETE THE INFORMATION BETWEEN THE RED BRACKETS AND THE RED BRACKETS THEMSELVES] You may only enter the Promotion online. To enter, go to [INSERT URL]. You must register on the site in order to set up an account and begin playing. You may register [with your Facebook account or] by submitting your first and last name, email address, phone number, city, and postal code in the online form. Once registered, you will be able to select winners of each NFL pro football regular season game. You will also be able to select winners of post-season games once the teams playing in those games are determined by the NFL. You must make your selection for each game at least five (5) minutes before the start of that game. [Entries made by individuals who submit their Facebook account will be deemed made by the authorized Facebook account holder of the Facebook account at the time of entry. The authorized Facebook account holder is the natural person who is assigned to the Facebook account by Facebook.] Entries made by individuals who submit their email address will be deemed made by the authorized account holder of the email address submitted at the time of entry. The authorized account holder is the natural person who is assigned to the email address by an internet access provider, online service provider or other organization that is responsible for assigning the email address or the domain associated with the submitted email address. Multiple entrants are not permitted to share the same Facebook account or email address. Entries submitted will not be acknowledged or returned. Use of any device to automate entry is prohibited. Proof of submission of an entry shall not be deemed proof of receipt by Station. The contest/sweepstakes administrator’s computer is the official time keeping device for the Promotion. For purpose of this Promotion, a “Day” shall begin at 12:00:00 a.m. [SPECIFY TIME ZONE (“ET”, “CT”, “MT”, or “PT”)] and shall end at 11:59:59 p.m. [SPECIFY TIME ZONE (“ET”, “CT”, “MT”, or “PT”)].

[b. This Promotion is in no way sponsored, endorsed or administered by, or associated with Facebook. By submission of an entry using a Facebook account, an entrant releases Facebook from any responsibility or liability for the Promotion’s administration, prizes or promotion. You are providing entry information to the Station and Second Street Media, Inc. and not to Facebook.]

VIA TEXT - You may elect to receive a link to the online entry page on your mobile phone by clicking on “get link” at the bottom of the entry page. You will then be required to enter your smartphone carrier and smartphone number or email address into the fields on the online form. A text containing a link to the online entry page, which includes instructions on how to log in and play, will then be sent to your smartphone or email address. Message and data rates may apply. The Station is not responsible for any fees incurred by an individual who elects to receive a link to the online entry page by this method. An entrant who provides a mobile wireless number to the Station in connection with a promotion, including by entering by text message or providing a mobile number for winner notification purposes, is responsible for informing the Station if his or her number is reassigned to another person at any time before the end of the Promotion set forth in Section I.a. of these rules, and for providing an alternative number where he or she may be reached.

4. PRIZES

a. [DESCRIBE QUANTITY OF LOCAL PRIZES (INCLUDING WEEKLY AND OVERALL/GRAND PRIZES, AS APPLICABLE), THAT YOU WILL OFFER USING WORDS AND NUMBERS (e.g., “four (4)”); DESCRIBE EACH LEVEL OF PRIZE(S), INCLUDE DESCRIPTION(S) OF PRIZE(S) AND THE APPROXIMATE RETAIL VALUE OF EACH PRIZE. IF TRIP IS AWARDED, SPECIFY WHAT IS INCLUDED AND WHAT IS EXCLUDED, ANY EXPIRATION DATES, LIMITATIONS, OR OTHER RESTRICTIONS ON USE. FOR TRAVEL PRIZES SPECIFY DATES OF TRAVEL, WHETHER BLACKOUT DATES APPLY, WHETHER THE TRAVEL IS SUBJECT TO AVAILABILITY, AND THAT WINNER AND GUEST ARE REQUIRED TO PROVIDE REQUISITE TRAVEL DOCUMENTATION OR VALID PASSPORTS AS NEEDED; FOR VEHICLE PRIZES, CONSULT LEGAL COUNSEL FOR LANGUAGE REQUIRED BY APPLICABLE STATE LAW.]]

b. Odds of winning depend upon an entrant’s skill at selecting winning teams and the number of entries received.

c. There is no substitution, transfer, or cash equivalent for prizes, except that the Station may, at its sole discretion, substitute prizes of comparable value or cash. The prizes are expressly limited to the item(s) listed above and do not include taxes, gratuities or any other expenses. Other restrictions may apply.

[IF YOUR LOCAL CONTEST PRIZES INCLUDE ANY APPLE PRODUCT (e.g., iPad, iPhone), INCLUDE THE FOLLOWING AND SEE THE GUIDANCE BELOW]

d. This Promotion is in no way sponsored, endorsed or administered by, or associated with Apple, Inc. By submission of an entry, an entrant releases Apple, Inc. from any responsibility or liability for the Promotion’s administration, prizes or promotion.

[NOTE: Stations may give away an Apple product (e.g., an iPad®, iPhone®, or Mac® computer) as a contest prize. However, Apple is very aggressive about enforcing its copyright and trademark rights, so stations should exercise caution to avoid potential liability. In addition to including the disclaimer above in your Official Rules, you must not create any impression that a contest is sponsored by Apple. You must also (1) use Apple or its product names only when necessary to identify the product you are giving away, and (2) use only as much of Apple’s or its product names as reasonably necessary to identify the product. For example, do not use Apple or its product names repeatedly in promos, and never include such names in the titles of your contests (e.g., do not call a contest “WXYZ-TV and Apple’s Weekly iPod Giveaway” or even “WXYZ-TV’s iPod Giveaway”). In addition, you must use the correct copyright/trademark symbol next to the product name (e.g., iPad®, iPad mini™) each time you use such a name. A list of Apple’s copyright/trademark symbols is available here: http://www.apple.com/legal/intellectual-property/trademark/appletmlist.html. In all printed materials (including Official Rules), an appropriate generic term must appear after an Apple trademark the first time it appears, and as often as is reasonable after that. Apple’s list of copyright/trademark symbols, available at the website above, includes Apple’s suggested generic descriptions for its products. Finally, you may never use the Apple logo or any other Apple-owned graphic, symbol or logo in connection with a contest. If you use images of Apple products in connection with a contest, you must use (1) photographs of the physical product taken by the station itself, or (2) stock images that the station has a license to use for promotional/commercial purposes. Never use an image of an Apple product taken from Apple’s website.]

5. WINNER SELECTION AND NOTIFICATION

a. Decisions of Station management with respect to the administration of the Promotion are final. Decisions of Second Street Media, Inc. with respect to winner selection are final.

b. A winner does not have to be present or viewing the Station in order to win.

c. Winners will be notified via email by [INSERT SAME DATE AS IN PARA. 1 FOR THE END DATE OF YOUR CONTEST], using the email address they supply when registering to play or the email address associated with their Facebook account, if applicable. Winners (or their parents or legal guardians if under the age of majority) must execute and return any required affidavit of eligibility and release, publicity release, and/or guest/traveling companion release within ten (10) days of notification attempt or winner will be disqualified and the prize will be forfeited and the individual who picked the second-most correct games throughout the entirety of the Tournament may be selected as an alternate winner. If a potential winner(s) cannot be contacted, fails to complete, sign and return any required affidavit of eligibility and release, publicity release, and/or guest/traveling companion release within the required time period, or if a prize or prize notification is returned as undeliverable, the potential winner(s) will be disqualified and will forfeit the prize.

[NOTE: Stations can find forms of the Gray Contest Affidavit & Release, Publicity Release & Waiver, and Guest/Traveling Companion Contest Release on Gray Connect and the Gray TV Legal Intranet, Contests and Promotions section. Stations should use these forms or contact legal counsel for review.]

d. Unless otherwise specified in the prize notification, all prizes or prize certificates may be picked up at the office of the Station at the address below. The winner(s) will forfeit any prize or prize certificate not claimed within thirty (30) days of winning. Prize or prize certificates will not be mailed to the winner(s) without the winner’s or winners’ prior written consent in which the winner(s) shall agree to assume its risk of loss. The Station, its sponsor(s), or promotional partner(s) are not responsible for the safe arrival of a prize or prize certificate.