I being duly sworn, represent that I entered the Raley’s #TimeOfTheSeason Sweepstakes (the “Sweepstakes”) in accordance with the Official Rules and Regulations. Before entering, I read and understood the rules of the Sweepstakes and I have committed no fraud or deception in entering the Sweepstakes or in claiming any prize. I further represent that I am 18 years or older. Therefore, I represent that I was eligible to enter the Sweepstakes and am eligible to be a winner.

I have been informed that I am the winner of 2,000 Something Extra points to Raley’s, Bel Air or Nob Hill Foods (ARV: $20.00 each). The Prize will be deposited into my Something Extra account. I shall be solely liable for any and all federal, state, and local taxes incident to my receipt of my Prize.

I agree that, in consideration of my receipt of my Prize, I hereby release and forever discharge Raley’s, Bel Air Mart, Nob Hill General Stores, Inc. (dba Nob Hill Foods), Warehouse Concepts, Inc. (dba Food Source), their parent companies, predecessors, successors, subsidiaries, affiliates, advertising and promotion agencies, present and former employees, officers, directors, shareholders and agents (collectively “Sponsor”) from and against any and all claims, demands, losses, liabilities and damages of any nature whatsoever which I may now or hereafter be entitled to assert, including, but not limited to any death, property damage, injury, loss of employment or other harm or loss of any nature whatsoever caused or contributed to by my possession, use of or participation in any of the prizes awarded in the Sweepstakes. By checking the box and acknowledging I've read this release, I am giving up and releasing all of my claims, including claims for damages that may not have happened yet and that may be foreseen or unforeseen, expected or unexpected. I understand and acknowledge that this release applies to and includes all unknown and unsuspected consequences or results arising from or relating to the transactions, occurrences, or agreements referred to in this release.

[For California winners: I represent and warrant that I have read the contents of California Civil Code section 1542, which provides as follows:

A general release does not extend to claims which the creditor does not know or suspect to exist in his favor at the time of executing the release, which if known by him must have materially affected his settlement with the debtor.

I expressly waive any and all rights and benefits under California Civil Code section 1542.]

I acknowledge that Sponsor has not arranged for and does not carry insurance of any kind for my benefit or that of my heirs relative to this Prize and that I am solely responsible for obtaining life, travel, or any other insurance for my own protection.

I give my consent that the Sponsor and others licensed by the Sponsor may use and distribute my name and address, my voice, likeness, and photographs, recordings, images, films or videotape of me, taken in connection with the Sweepstakes for any and all purposes, including publicity, advertising, trade and Internet purposes, by all means of publication, including electronic publication without any obligation or liability to me.

I will automatically be disqualified from the Sweepstakes and must return the Prize awarded to me if any statement made by me in this agreement and release is false.