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Infusion Log Art Contest

Posted Jan 15 2009 11:46pm

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What ? Submit a drawing, sketch or painting about your Subcutaneous Immune Globulin (SCIG) Infusion. The winning entries will have their artwork featured in our SCIG Infusion Log.

Who Can participate? Any child or youth up to 17 years of age who has an immune deficiency OR has a brother, sister, parent, or grandparent with an immune disorder.

What to Draw, Color or Paint? The artwork should have something to do with the entrant’s family or their experiences with SCIG therapy. The entries can be no larger than 8.5 x 11 inches but may be smaller.

Prizes: All entrants will receive a $10 gift card to Toys R Us or Barnes & Noble.

The winners will have their artwork printed in our SCIG Infusion Log.

Entries: Complete the entry form and send it to:

BioRx

SCIG Infusion Log Contest

10828Kenwood Rd.

Cincinnati, Ohio 45242

Entries must be received by December 1, 2008 to be eligible

Kids and parent! A parent MUST sign the entry form on the next page, acknowledging that they have read the entry form and that we may be allowed to use your child’s art. Any entries that are not accompanied with a signed entry form cannot be used.

Name : _________________________________________________________________________ ____

Address: _____________________________________________________________________________

City, State, Zip Code: ___________________________________________________________________

Age, as of December 1: ________

Phone Numbers: ______________________________________________________________________

Email: _______________________________________________________________________________

(We need a way to contact you if you or your child is a winner!)

Contestant is: ___ living with SQ Immune Globulin Infusion

___ the sibling or step-sibling of someone living with SQ Immune Globulin Infusion

___ has a parent or step-parent living with SQ Immune Globulin Infusion

I would like the following gift card as my prize for entering::

___ Toys R Us

___ Barnes & Noble Booksellers

If your child’s art is selected to appear in the calendar, his/her first name and last name initial, age, as well as city and state will appear with the art; i.e. “Billy S. (Age 9), Plano, TX”.

Parent or Guardian’s Signature (Mandatory): ________________________________________________

Parent or Guardian’s name PRINTED ______________________________________ Date ____________

Rules: (copy from Calendar Entry Form) 9 pt.

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