Submit your entry - Siblings of Autism

Submit Your Book Cover Entry

We’ve had a successful past 3 years of scholarship submissions. I am excited to announce I will be compiling all of this great information into a book, and I need your help designing my book cover! A cover may be a collage, painting, or even powerful words – so get creative! The skies are the limit!

I look forward to receiving the many great entries this year, and I greatly appreciate everyone’s continued support!
” –Jason Cherry

Submissions should include one high res photo of your book cover design.

One scholarship will be awarded for $10,000, one for $5,000, and five for $1,000. The deadline for submission of entry is August 31, 2019.

Submitting your entry to Siblings of Autism is a two-step process. The first step is completing the form below and submitting the information. The second step is to send us your book cover image. Further submission instructions are found after the form. The Autism Society of America and Siblings of Autism will make the final decision regarding the awarding of scholarships and the decision will be final.

Get creative and have fun!

Name*
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Address*
Street Address City State ZIP Code
Email*
Home Phone
Mobile Phone
Book Cover and Biographical Information Release Terms
I am submitting the identified Book Cover Entry (the “Book Cover”) as part of a submission for the grant of an award to advance autism-related sibling projects. I hereby grant full permission and consent for Siblings of Autism, the Autism Society of America, and its affiliates to use the Book Cover, any photographs provided by me, still images taken from the Book Cover, and biographical information provided by me (“Materials”) to be published and displayed on, but not limited to, the following websites: the Autism Society of America's website (autism-society.org), any affiliates website(s), and the Siblings of Autism website (siblingsofautism.org) now or in the future without payment or any other consideration. I hereby grant to Siblings of Autism, the Autism Society of America, and its affiliates a worldwide, paid-up, exclusive license, with the unrestricted right of sublicense and assignment, to use, reproduce, distribute copies, publicly demonstrate or display the Book Cover and Materials solely for the purpose of promoting autism awareness and education about autism and its effects on families. I agree that Siblings of Autism, the Autism Society of America, and its affiliates shall be free, and grant permission, to publish or publicize all or part of the Book Cover and Materials, for promotional and fund raising purposes in the United States, in conjunction with all promotions and fund raising in any and all media now known or hereafter developed, in perpetuity, without notice and without further compensation unless I revoke such permissions as directed below. I warrant and represent that the Book Cover is original and was made without copying any other work or elements of any other work and that, to the best of my knowledge, Siblings of Autism, the Autism Society of America, and its affiliates may exercise the licensed rights granted above without infringing the rights of any third party. To the extent that individuals are identified in the Book Cover, I warrant and represent that such individuals consented to being recorded in, and to the public display of, the Book Cover. I expressly release Siblings of Autism, the Autism Society of America, its affiliates, agents, employees, licensees and assigns from and against any an all claims which I have or may have in law, equity or otherwise arising out of the production, distribution, broadcast or exhibition of the Book Cover and Materials and/or my likeness. I and on behalf of my heirs, legal representatives, agents, successors and assigns, covenant and promise not to sue or proceed in any manner, in agency or other proceedings, whether at law, in equity, by way of administrative hearing, or otherwise, to solicit others to institute any such actions or proceedings, or consent to be a complainant in any criminal action or proceeding, against Siblings of Autism, the Autism Society of America, and its affiliates and its respective heirs, legal representatives, officers, directors, employees, agents, successors and assigns, because of or arising out of the use of the Book Cover and/or Materials. By submitting this form I acknowledge that I understand the above criteria and agree to the above terms. I also understand that I can revoke permission for further use by contacting Siblings of Autism in writing at their address of record, currently 40 West Street, Annapolis, MD 21401 and the Autism Society of America in writing at their address of record, currently 4340 East-West Highway, Suite 350, Bethesda, MD 20814 or via one of their online forms or contact vehicles.
Do you agree to the Book Cover and Biographical Information Release Terms*
- I agree to the Video, Photo and Biographical Information Release Terms
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Email us your submission! Please include the following:

Subject line to read “Siblings of Autism 2019 Book Cover Entry”
Attach a high-res book cover image
Include your name, address, phone number in the body
That’s it!