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Keith & Shivonie Ross

www.sdschoolphotography.com

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PARENT INFORMATION

IF MODEL IS UNDER 18

PARENTS NAME

Is the model over 18 years of age?

CHECK ONE

For Valuable consideration, I hereby give SD SCHOOL & SPORTS PHOTOGRAPHY permission to use my pictures and/or videos and I authorize the use and reproduction of it by you or any one authorized by you. This includes any and all photographs/video which you have captured of me, for advertising or promotional materials, without further compensation to me. All digital image files together with the prints shall constitute SD PHOTOGRAPHY sole Property

Agree with above statement

Check one

First Name

Last Name

Phone

Thank you.

We have received your message and will add this to our records.

Keith & Shivonie Ross

www.sdschoolphotography.com

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