Enter Your Registration Number:
Enter your School Name:
I have read and understand the PSA (video) Contest disclaimer:
By entering, the entrant represents and warrants that the entry is his or her original work
and that it does not contain previously published and/or copyrighted material
and agrees to release, indemnify and hold harmless Missouri Department of
Transportation, Missouri Highways and Transportation Commission, and any other
organizations related to the contest from any and all claims, injuries,
damages, or losses to the person or property and/or liabilities of any nature
that in any way arise from participation in this contest or acceptance or use
of a prize or parts thereof. All submissions, and any and all rights in
submissions, become the property of Missouri Department of Transportation and
Missouri Highways and Transportation Commission.
No entries will be returned.
The Missouri Coalition for Roadway Safety reserves the right to make creative adaptations to the
winning entry in order to comply with copyright laws, trademarks and other
licensing issues which may prevent the State from executing the PSA exactly as
it is written.
Each winner grants to the Missouri
Coalition for Roadway Safety, Missouri Department of Transportation and
Missouri Highways and Transportation Commission the right to use his or her
name, likeness, hometown name, biographical information, and entry for purposes
of advertising and promotion without further notice or compensation, except
where prohibited by law.
Enter the PSA (video) Contest Entry Title:
(Example: PSA 01, or Why Wear a Safety Belt Oct. 10, 2011)