Say What?! Contest Provincial Health Services Authority Aboriginal Health is pleased to announce the Say What?! video contest.

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Say What?! Contest Provincial Health Services Authority Aboriginal Health is pleased to announce the Say What?! video contest. Call to Action PHSA-Aboriginal Health Program is looking for First Nations film enthusiasts to create videos for the Online Indigenous Youth Wellness Program. We would like to hear your voice and listen to what is important to you with regards to the environment, what it means to be a warrior, decolonization, celebrating our cultures and racism. Entry Categories 1. Our Land, Our Environment 2. What Does it mean to be decolonized 3. What Does it mean to be an Aboriginal Warrior Today 4. Racism 5. Celebrating Our Cultures 6. Other- What else is Important to you 1

CONTEST ENTRY FORM Last Name First Date First Nation: Street Address City Phone Province E-mail Address Age (on date of submission) Apartment/Unit # Postal Code T-Shirt Size Men or Women XS, S, M, L, XL, XXL GUARDIAN INFORMATION (If the Submitter is under 18 years of age, please provide parent or guardian contact information below) Full Name: Relationship to the Submitter: (Parent/Guardian) Daytime Telephone Number: E-mail Address: Video title (as it appears on YouTube): Short description of your video: YouTube video URL: Agreement Please circle your response: In consideration of entering the contest and in being recognized as a contender for a prize, I acknowledge that I have read and understand the Rant Video Contest Official Rules and I agree to be bound by the terms and conditions set out in the Rant Video Contest Official Rules, attached hereto* Yes No * A No response will disqualify your entry. A copy of the Rant Video Contest Official Rules can be found in the following pages of this application form. 2

Signature Submissions are not considered complete until signed Signature Guardian Signature Date Date 3

Rant Video Contest - Official Rules This contest is governed by the terms and conditions set out below. By entering the contest, you agree to abide by these rules and the decisions of the Provincial Health Services Authority, Aboriginal Health Program (PHSA) and the contest judges, who may or may not be employees of PHSA. You also agree to comply with all applicable laws. The contest is void where prohibited or restricted by law. Eligibility You are not required to make any purchases or pay any fee to enter to win the contest. To enter, you must be a legal resident of Canada be 19 years of age or older, or be at least 16 and have consent from your parent or legal guardian to enter the contest an Aboriginal youth living in BC submit a completed and signed entry form. PHSA-Aboriginal Health Program may at any time in its sole discretion disqualify any entrant who: does not meet the contest s eligibility criteria, fails to comply with these rules, attempts to enter the contest in any manner our through any means other than as described in these rules, attempts to disrupt the contest or attempts to circumvent any of these rules. Video Criteria In order for a video to be eligible and be in the running to be chosen as a winner, it must meet the following criteria: On topic (See Video Eligibility-Contest Guidelines and Restrictions) Motivating (influences action) Positive Thought-provoking Visually Interesting Comprised of original material Video length between 20 to 45 seconds The above criteria will be used by the judging panel to determine the winners. 4

Video Eligibility-Contest Guidelines and Restrictions A video must meet all of the following requirements to be eligible for the contest: It must be between 20 and 45 seconds in length It must be comprised of original material, and must not contain any music, images or other content that violates any law or any third party s rights (including privacy, personality and intellectual property rights, such as copyright) It must meet all guidelines and criteria imposed by YouTube with respect to videos submitted to YouTube. It must not contain, depict or refer to any crude, vulgar, obscene, sexually explicit, disparaging, discriminatory, offensive, illegal or otherwise unsuitable language, activity or other content (all as determined by PHSA-Aboriginal Health Program in its sole discretion). It must not contain, depict or refer to any content which disparages or refers negatively to PHSA, the contest, or any other person or entity (all as determined by PHSA-Aboriginal Health Program in its sole discretion). PHSA-Aboriginal Health Program may disqualify any video entry if PHSA Aboriginal Health determines (in its sole discretion) that the video does not comply with these eligibility requirements or otherwise with these rules. By submitting a video to PHSA-Aboriginal Health Program you represent and warrant that: You are the original creator of the video; You are the sole owner of the copyright and all other rights in the video and all content in and on the video (including all music and video content); PHSA-Aboriginal Health Program will not infringe or violate any third party s intellectual property, privacy, personality or other rights when PHSA- Aboriginal Health Program copies, displays, edits, modifies, transmits or otherwise uses that video in connection with the contest or any advertising; Media Release forms have been signed for each person appearing in the video, see the back of entry form, and; The video meets all the eligibility requirements set out in the rules. If PHSA-Aboriginal Health suspects or believes that any of the above is untrue, PHSA- Aboriginal Health Program may disqualify any entry in its sole discretion without the need to justify its decision in doing so. If a video shows an individual in such a way that the individual can be recognized, you must obtain written consent from that individual to permit PHSA-Aboriginal Health Program to copy, display, transmit and otherwise use the video, and you must give PHSA-Aboriginal Health Program the original copy of that consent form upon PHSA- Aboriginal Health Program s request. Videos that are submitted with inadequate 5

documentation, as determined solely by PHSA-Aboriginal Health Program, will not be eligible for the contest. *Media permission forms are available at the end of this document and may be duplicated as required. Prizes A set amount of prizes will be allocated to the winners selected by PHSA-Aboriginal Health Program and other appointed judges. The prizes include; I-pad mini for the winner of each of the 6 categories Decolonized T-shirt and toque for each person who enters the contest Deadline The PHSA-Aboriginal Health Program video contest deadline is March 7 th, 2014 Videos must be uploaded to YouTube and entry forms must be received by March 7 th, 2014 to be eligible How to Enter You may enter the contest by submitting your video to PHSA-Aboriginal Health Program as follows: 1. Upload the video to YouTube and provide link to PHSA Aboriginal Health Program by March 7 th, 2014 E-mail the link to Cuyswti@phsa.ca 2. Mail a copy of the video on a USB drive or CD (must arrive at PHSA Aboriginal Health by March 7 th, 2014) to: Gabriella Emery Aboriginal Health Program Suite 201-601 West Broadway Vancouver, BC V5Z 4C2 You are solely responsible for ensuring that your video is properly submitted as described above. PHSA-Aboriginal Health Program will not be responsible for any lost, delayed, misdirected, illegible, incomplete, damaged or undeliverable entries, or any delay or failure to transmit, process, receive or consider entries. 6

(Note: Uploading videos to YouTube requires your own account and can sometimes take hours, please ensure that you give yourself enough time to upload your video to YouTube prior to the deadline) Note that PHSA-Aboriginal Health Program is not associated with YouTube. You must comply with YouTube s terms of use, and PHSA-Aboriginal Health Program will not be liable to you regarding your use of (or inability to use) YouTube. YouTube servers are located in the United States; as such your personal information will be stored there. PHSA- Aboriginal Health Program is not responsible for the information you provide when signing up for a YouTube account. Selection of Winners A panel of PHSA- Aboriginal Health Program Staff and Aboriginal youth will vote for the winning videos of each category For more information please e-mail questions to Cuystwi@phsa.ca Notification The finalists for the PHSA-Aboriginal Health Program contest will be notified by telephone or email within 7 to 10 business days of the contest closing. Finalists will also be announced at the Gathering Our Voices conference in Vancouver, BC March-18 th to 21 st, 2014. In order for these finalists to be declared contest winners and be eligible for a prize, each finalist must have complied with, and remain in compliance with, these rules, and must sign and deliver to PHSA-Aboriginal Health Program (within 5 days of PHSA- Aboriginal Health Program s request) a standard declaration and release form (which will include a declaration of the finalists compliance with these rules, an acceptance of the prize as awarded, a publicity release, a liability release, and the correct answer to a skilltesting question) and any other documentation that PHSA may require. PHSA may request valid proof of identity, residency, age and other relevant documentation, and PHSA may disqualify a finalist if PHSA determines (in its sole discretion) that the provided proof is not sufficient. If the prize notification is returned as undeliverable, or if a selected finalist does not comply with all of the above requirements within the specified time frames, or does not otherwise comply with these rules, the finalist will be disqualified and the contest judges will select a replacement finalist. 7

Cancellation If for any reason PHSA-Aboriginal Health Program cannot run the contest as planned (including as a result of bugs, tampering, unauthorized intervention, fraud, technical failures, infection by a computer virus or any other cause that corrupts, impairs or affects the administration, security, fairness integrity, or proper conduct of this contest) PHSA Aboriginal Health Program may cancel, modify, extend or suspend the contest. If that occurs, PHSA-Aboriginal Health Program may award prizes at random from among the eligible entries received up to the time of the impairment or award no prizes. At no time shall PHSA be liable for any costs incurred or time spent on compiling, preparing creating or submitting any video or other deliverable in response to this contest. PHSA-Aboriginal Health may also disqualify any individual who tampers with or in any way corrupts the entry or voting process, or who attempts to undermine the legitimate operation of the contest by cheating, hacking, deception, or other unfair practices, or by attempting to annoy, abuse, threaten or harass any other entrants or PHSA-Aboriginal Health Program representatives. License to PHSA-Aboriginal Health Program By entering a video in the contest, you waive all rights you may have with respect to the video, including all moral rights and rights of personality, publicity or privacy, and grants to PHSA-Aboriginal Health Program the unrestricted, royalty-free, perpetual, irrevocable, worldwide licence (but not the obligation) to use, reproduce, communicate, modify and display the video (in whole or in part) for any purpose without any fee or other form of compensation, and without further notification or permission, including without limitation the following purposes: Reproducing, publishing, communicating and displaying some or all the video as part of the contest or otherwise; Indentifying you by name as the owner of the video; Displaying the winning entries in the contest; and For PHSA-Aboriginal Health Program s advertising purposes, including to advertise the contest, future contests, and PHSA-Aboriginal Health Program s products and services. By entering a video in the contest, you grant PHSA the unlimited right: (i) to edit or modify the video in any manner, including by adding visual or aural effects or other elements; and (ii) to use, adopt and modify any portion of the video in combination with other materials Publicity 8

Except where otherwise prohibited by law, participation in the contest constitutes a winner s consent to FNHS s use of the winner s name, home town and province for promotional purposes without further notification, permission, payment or consideration. Disclaimers, Liability and Indemnification PHSA is not liable for any loss or damage of any videos entered in the contest or for any other loss or damage resulting directly or indirectly from your participation in the contest. PHSA is not responsible for: (1) incorrect or inaccurate transcription of entry information or late, lost, incomplete, misdirected entries, or entries received through impermissible or illegitimate channels; (2) technical failures of any kind, including the malfunctioning of any telephone, computer, network, hardware or software; (3) the unavailability or inaccessibility of any service; (4) unauthorized human intervention in any part of the entry process or the contest; (5) electronic or human error that may occur in the administration of the contest or the processing of entries; or (6) any injury or damage to persons or property, including your computer, that may be caused, directly or indirectly, in whole or in part, from participation in the contest or from downloading any material from PHSA s web site PHSA will not be liable to you for any direct, indirect, special, consequential, or punitive damages in connection with the contest or these rules. By participating in this contest, you release and agree to indemnify and hold harmless PHSA and its employees, directors, officers, affiliates, agents, judges and advertising and promotional agencies from any damages, injuries, claims, causes of actions, or losses of any kind resulting from participation in this contest or receipt or use of any prize. By participating in this contest, you further agree to indemnify and hold harmless PHSA and its employees, directors, officers, members, affiliates, agents, judges and advertising and promotional agencies from any damages, injuries, claims, causes of actions or losses of any kind (including actual legal fees and expenses) arising from or related to: (a) the participant s failure to comply with any of these rules; (b) any misrepresentation made by the participant under these rules or otherwise to PHS; or (c) the participant s participation in the contest. Personal Information You consent to PHSA using and disclosing your personal information for the purposes of administering the contest; advertising the contest and any future contests and any of PHSA s products and services; and for the other purposes described in these rules. If PHSA uses some or all of your video for advertising purposes, PHSA will only disclose your first name in that advertising unless you consent to PHSA also disclosing your last name. 9

Law These contest rules will be governed by and construed in accordance with the laws of British Columbia, Canada and the federal laws of Canada applicable in British Columbia. Disputes All disputes, claims and causes of action arising out of or connected with the contest, prizes or these rules will be resolved individually, without resort to any form of class action, and exclusively by the appropriate court of British Columbia, Canada. Further Information and Rules If you have any questions, and for a copy of these contest rules please e-mail Cuystwi@phsa.ca 10

DUPLICATE AS NEEDED MEDIA RELEASE PARTICIPANT S NAME: I hereby acknowledged the opportunity to participate in the above-identified video project produced by [Videographers Name](the Videographer, and in consideration of the opportunity to participate in the video created by the Videographer I agree that: 1. my participation in the resulting video is completely voluntary; 2. my image may feature prominently in the resulting video(s); 3. that such video may be broadcast and distributed without limitation through any means and I shall not receive any compensation for my participation; 4. The Videographer may use my name, likeness, portrait or pictures, voice and biographical material about me for educational, program or series publicity and organizational promotional purposes; and 5. my participation in the video project confers upon me no rights to use, ownership or copyright in the resulting video(s). I confirm that any and all material furnished by me for this video project is either my own or otherwise authorized for such use without obligation to me or any third party. I also agree I further agree that I hereby waive the enforcement of any rights that I may have against the Videographer and I release the Videographer, his/her/its employees, agents, and assigns and the organizers or hosts of any contents that the Videographer may enter the video(s) into from all liability which may arise from any and/or all claims by me or any third party in connection with my participation in the video(s) and I hereby release all such parties from any claims for compensation as a result of creating or using the video.. 11

It is understood that the Videographer or any content organizer, is under no obligation to broadcast or use the above-identified video(s) in which I may feature. Agreed to and signed this day of, 201 by: Participant s Signature Street Address City, Province, Postal Code I, am the parent or legal guardian of the above-named minor and I endorse the above statement in his/her behalf on this day of, 201. / / Parent or Guardian Street Address City, Province, Postal Code 12