Enter to Win - Harkla Weighted Blanket and Lap Pad (Valued at approx. $200)

How to Win These Items

Use this form and tell us in 25 words or less why you want to win these items.
All entries must be submitted by February 28, 2019, no later than 6:00 pm PST.
Autism Care Today will select one entry and notify the winner.

5 Tips
  • Do not go over the word limit.
  • Answer the question.
  • Be creative.
  • Be honest.
  • Provide a valid email address.


I hereby release Autism Care Today and Harkla to use photographs, reproductions, video tapes, recordings, statements or endorsements of/by me and/or my child for publicity, fundraising or any other purpose.

I hereby grant Autism Care Today and Harkla the following rights:
  • To use my / my child’s first name (you may ask that names are withheld – see below), photograph, picture, portrait, likeness, and voice in connection with its educational materials or publicity or for any other legitimate reason.
  • To use, reproduce, publish, exhibit, distribute, and transmit my / my child’s image individually or in conjunction with other images or printed matter in the production of brochures, motion pictures, television tape, sound recordings, still photography, CD-ROM, and other media.
  • To record, reproduce, and amplify my image and all sound effects produced.
I hereby release and discharge Autism Care Today and Harkla from any and all claims, actions and demands arising out of or in connection with the use of said image, including, without limitation, any and all claims for invasion of privacy and libel.  

I hereby waive the right to inspect or approve my / my child’s image or any finished materials that incorporate my image. I understand and agree that I will receive no compensation, now or in the future, in connection with the use of my / my child’s image.
By completing this  form, I represent that I have read the preceding and completely understand the contents.

Privacy Policy
* indicates required