Mi Casa Makeover Form PDF Details

The Mi Casa Makeover registration form serves as a gateway for families and homeowners in Texas to transform their living spaces into dream homes. Designed for legal U.S. residents within the KENS 5 viewing area, this comprehensive form not only seeks nominee information such as full name, home address, contact details, and homeowner status but digs deeper into the specifics of the home and the story behind the nomination. It asks for details ranging from the number of people living in the home, whether anyone is wheelchair-bound, the number of children and pets, the homeowner's annual net income to the square footage of the house, and its age. Beyond logistical queries, it establishes an emotional connection by requesting a narrative on why the nominated family deserves the makeover, promising a personalized and thoughtful selection process led by remodeling experts. Participants must own the home and adhere to contest rules including eligibility, judging criteria, and prize details, making it clear that this opportunity is not only about aesthetic enhancement but also about improving life quality for deserving families. Through sending photos and detailed stories, nominees have a chance to win a home makeover, subject to rigorous selection criteria reflecting the condition of the home, contractor availability, and the compelling nature of family stories. This form encapsulates hope for transformation, laying out the steps toward potentially winning a makeover valued between $10,000 to $50,000, underlining the contest's mission to positively impact lives within the San Antonio community.

QuestionAnswer
Form NameMi Casa Makeover Form
Form Length5 pages
Fillable?No
Fillable fields0
Avg. time to fill out1 min 15 sec
Other names2016, kens5 form, Texas, KENS-5

Form Preview Example

Registration Form for

Mi Casa Makeover

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Date of Bi th

Today’s Date

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No

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City

 

State

 

 

 

 

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NO If no, please tell us your name & relationship to nominee:

_________________________________

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) _____________________

_________________________

 

your name/relationship

 

 

 

 

your daytime phone

your e-mail address

Please fill out:

 

 

 

 

 

 

 

 

 

 

How many people currently live in the home? _________

Is anyone in the home wheelchair-bound?_________

How many children live in the home? ______ # pets _______

 

 

Does the nominee own the home? ________

 

 

 

 

 

Annual Net Household Income USD (circle one):

 

 

 

 

 

Less than $30,000

$30,000-$50,000

$50,000-$70,000

Greater than $70,000

What’s the s

ua e footage of the ho

e?___________

Age of ho

e / Year built: __________

How many rooms in the home? ___________ # of bedrooms __________ # of baths _________

Who do you pay your energy bills to? _________________

 

 

Is there a Home Owners Association? _____________

Is there natural gas in the home?__________

SEND PHOTOS AND REGISTRATION FORM TO:

 

 

 

 

 

Mi Casa Makeover E tr

 

 

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P.O. Bo TV5

 

 

 

Appl MiCasa@ke s5. o

 

 

Sa

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Eligible entries from previous years will be considered

___________________________

_______

No i ato ’s a e

 

Age

______________

______________

Phone Number

Email

 

 

 

 

To be considered, please provide PHOTOS* of:

All sides of exterior of home

Front and backyard

Interior of home: As many rooms as possible, especially any areas needing remodeling/makeover.

Please take photos from a distance to show entire rooms/spaces.

Mi Casa Makeover

Registration Form - (page 2)

**I porta t** TELL US YOUR STORY. Please tell us a out the fa il or why this family

deserves to win a KENS 5 Mi Casa Makeover! (Please use separate sheet of paper if necessary):

__________________________________________

__________________________________________

__________________________________________

__________________________________________

__________________________________________

__________________________________________

__________________________________________

__________________________________________

__________________________________________

__________________________________________

__________________________________________

__________________________________________

__________________________________________

__________________________________________

__________________________________________

__________________________________________

__________________________________________

__________________________________________

_____________________________________________

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Signature of Homeowner

Date

Nominees must own the home being considered. Employees of KENS 5 and their family members and/or any of our sponsors are not eligible to participate in this program. If your home is selected as a Mi Casa Makeover winner, you will be subject to a 1099 for tax purposes. By signing above you agree to and understand this.

KENS-5 MI CASA MAKEOVER CONTEST

OFFICIAL RULES

1. NO PURCHASE NECESSARY TO ENTER OR TO WIN. A PURCHASE WILL NOT

INCREASE YOUR ODDS OF WINNING. SUBJECT TO FEDERAL, STATE, LOCAL AND MUNICIPAL LAWS AND REGULATIONS. VOID WHERE PROHIBITED.

2. Eligibility. Subject to the additional restrictions below, The Mi Casa Makeover Contest (the “Contest”) is open to individuals who are legal U.S. residents of Texas. Employees or contractors of KENS-5 (“Sponsor”), TEGNA Inc., all Promotional Sponsors named at the end

of these rules and each of their respective affiliated companies, and advertising and promotional agencies, and the immediate family members of, and any persons domiciled with any such employees or contractors are not eligible to enter or win. Anyone who has won a KENS-TV contest or sweepstakes within the past 90 days prior to the start date of this contest is also not eligible to enter or win.

3.How to Enter. The Contest will begin at 9:00 am (CT) January, 19, 2016, and will end at 5:00 pm (CT) January 29, 2016. You can self-nominate your home or nominate that of a deserving family for a Mi Casa Makeover.

NOMINATOR AND NOMINEE. A Nominator must be a legal U.S. citizen residing in the State of

Texas who is 18 years of age or older. An eligible Nominator may nominate his or her own home or may nominate someone else’s home to receive the makeover. A Nominee must own and occupy the home being nominated for the makeover located within the KENS 5 viewing area (as defined by its Nielsen DMA) that includes the Texas counties of Atascosa, Bandera, Bexar, Comal, Guadalupe, Kendall, Medina and Wilson. The home must be his or her primary residence located within the city limits of San Antonio. A Nominator may nominate his or her own home, or that of another family.

During the Contest Entry Period the Entry Form is available on kens5.com at www.kens5.com/. Complete the required information and follow all instructions. Print out both pages of the form and send them along with the required photos to Mi Casa Makeover KENS-TV, P.O. Box TV 5, San Antonio, TX 78229. You will be asked to send photos of the nominated home including any areas of the home you believe need a makeover. Each photo must be an authentic, original and the Nominee must own the copyright in the photo submitted. Sponsor reserves the right to refuse any photograph it determines to be unacceptable or inappropriate. The Nominator will also be asked to write a brief description of the family that owns and occupies the nominated property and why he or she believes this family deserves to win a KENS 5 Mi Casa Makeover. All entries must be postmarked by January 29, 2016 and received no later than February 3, 2016.

Only one (1) entry per household. For an entry to be eligible it must include both pages of the entry form and photos. Sponsor will not be responsible for incomplete, lost, late, postage- due, misdirected or illegible entries, or poor quality photos. Nominees must agree to make their properties available for on-site inspections when called upon and scheduled on dates to be determined. All entries become the property of Sponsor and none will be returned.

4.Winner Selection. Judging of all eligible entries will begin on February 4, 2016. A panel of qualified judges made up of remodeling experts including, but not limited to construction

contractors, HVAC, siding and window installers, and utilities service providers will judge each eligible entry by the following criteria Condition of the home (50%), Participating Contractors’ schedules (30%) and family story (20%). The ratings scale for each criterion will range from one (1) to ten (10), with 10 being the best score. In the event of a tie, the judges will visit the top two (2) tied home and families and re-judge each home using the same criteria. The ten

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(10)nominated properties with the highest cumulative scores will become the 10 Semi- Finalists. During the week of February 8, 2016 the Judges will conduct site checks of the 10 Semi Finalists properties and will select five (5) Finalists. . During the Week of February 8,

2016 the Judges and a group of Promotional Sponsors will conduct follow-up site visits to the 5 Finalistsproperties. On or about February 15, 2016 the winning Nominee will be selected. The decisions of Judges will be final and binding in all respects.

5.Prizes and Odds. One (1) Grand Prize Winner will receive a home makeover that may include a variety of remodeling services such as HVAC, siding, windows, as requested in Winner’s entry and determined by Judges and participating Promotional Sponsors. The Grand Prize package will vary depending upon the needs of the winning home and will have an approximate retail value between $10,000.00 - $50.000.00. Makeover must take place between February 21 and June 1, 2016. KENS 5 will come with cameras to surprise the Winner which will be broadcast on Great Day San Antonio February 18, 2016. The Family Surprise Show revealing the home will be on March 4, 2016. When the makeover has been completed the home will be featured on Great Day San Antonio show June 3, 2016 and June 10, 2016 with before and after photos of the makeover.

Odds of winning depend on the number of eligible entries received.

6.Winner Notification and Acceptance. The Grand Prize Winner will be notified on or about February 18, 2016 at the telephone number provided on winner’s entry form. Sponsor will call during regular business hours and will leave no messages. Failure to reach the Winner by phone after three (3) attempts may result in disqualification of winner, forfeiture or his or her interest in all prizes and the entry with the next highest number of points will be declared the Grand Prize Winner. . Winner may waive his or her right to receive prize. Prizes are nonassignable and nontransferable. No substitutions allowed by winner. Prize is not redeemable for cash. Prizes and individual components of prize packages are subject to availability and Sponsor reserves the right to substitute prizes of equal or greater value. Winner is solely responsible for reporting and payment of any taxes on prizes. To claim the prize Winner will be required to complete an affidavit of eligibility/liability and publicity release which

must be returned as directed by Sponsor. Failure to sign and return the affidavit or release, or to comply with any term or condition of these Official Rules, may result in a winner’s

disqualification, the forfeiture of his or her interest in the prize, and the award of the prize to a substitute winner. Delivery of the prize will be arranged following Sponsor’s receipt of the fully

executed affidavit of release. Except where prohibited, acceptance of any prize constitutes winner’s consent to the publication of his or her name, biographical information and likeness in any media for any commercial or promotional purpose, without limitation the Internet, or further compensation. Prizes not won and claimed by eligible winners in accordance with these Official Rules will not be awarded and will remain the property of Sponsor.

7.Participation. By participating, entrants agree to be bound by these Official Rules and the decisions of Sponsor. Sponsor reserve the right to disqualify persons found tampering with or otherwise abusing any aspect of this Contest as solely determined by Sponsor. In the event the Contest is compromised by tampering or other causes beyond the reasonable control of Sponsor which corrupts or impairs the administration, security, fairness or proper operation of the Contest, Sponsor reserves the right in its sole discretion to suspend, modify or terminate the Contest. Should the Contest be terminated prior to the stated expiration date, Sponsor reserve the right to award prizes based on the entries received before the termination date. KENS 5 shall have no liability to the Grand Prize Winner for the makeover services, materials,

or labor being provided or for any damage to persons or property in connection with the Grand Prize occurring on or about the Grand Prize Winner’s home.

8.Release. Promotional Sponsors and KENS 5 make no warranties, express or implied, relative to the use or enjoyment of any prize or portions thereof, including without limitations, its quality, merchantability or fitness for a particular purpose. By entering the Contest, Winner agrees to

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hold harmless and fully release Sponsor KENS 5, TEGNA Inc. and its parent companies, trustees, subsidiaries, franchisees, licensees, employees, agents, independent contractors and advertising and promotional agencies from any and all liability for any injuries, losses, death, or damages of any kind caused by any prize or resulting from the acceptance, possession, quality, use or misuse of any prize, or any portion of any prize or travel related to the receipt or use of any prize.

9.Construction. The invalidity or unenforceability of any provision of these rules shall not affect the validity or enforceability of any other provision. In the event that any such provision is determined to be invalid or otherwise unenforceable, these rules shall be construed in accordance with their terms as if the invalid or unenforceable provision was not contained therein.

10.Sponsor. The Mi Casa Makeover Contest is sponsored by Kens-5. The decisions of Sponsors and judges regarding the selection of winners and all other aspects of the Contest shall be final and binding in all respects. Sponsor will not be responsible for typographical, printing or other inadvertent errors in these Official Rules or in other materials relating to the Contest. For the

name of winners (available after March 4, 2016) or a copy of these Official Rules, visit www.kens5.com “Mi Casa Makeover,” or send a self-addressed, stamped envelope to “Winners List/Official Rules” (as applicable), Mi Casa Makeover, KENS-TV, P.O. Box TV 5, San Antonio, TX 78229If you have questions regarding this Contest, please contact Roger Soto at rsoto@kens5.com or 210--366-5000.

Promotional Sponsors

A-AAA Key Storage

Hollywood Crawford Garage

Ashley Furniture

ISS Ground Control

At Home

John Augustine Carpentry

Aw Ready Plumbing

Kendall County Air

Atlas Floors

Leal Painting

B&T Glass

LgO Services

Behr Paint

Lucy’s Doggy Daycare

Builders Security Group

Mister Sparky

Basaldua Construction

Michael Edwards Cabinetry

Birdy Properties

Maid Affordable

Budget Blinds of North San Antonio

Rainbow Play Systems

Build San Antonio Green

R & J Construction

CPS Energy

Steve Doors

Du West Foundation Repair

Sola Lite

Emser Tile

San Antonio Granite Works

Ferguson Plumbing

Swintek Construction

Get a Move On

Total Maintenance Fence Repair

Home Depot

U-Build It

Home Depot Services

Vaquero Waste & Recycling

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