Infinite Motion 2015

Dance Picture Day 2015

Dancer(s) Last Name*

DANCE SCHOOL

Parents Name*

First NameLast Name

E-mail*

Phone Number*

Format: (000) 000-0000.

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Please list Dancer(s) and class info for I

Please list Dancer(s) for Individual Portraits ONLY.

List actual class, day and time not scheduled photo time.

List all classes for Individual Portraits by clicking the

"Add Dancers and/or Sessions" button.

All dancer's will be photographed with the class and

all class photos will be available to order online.

For sibling portraits ~ add a session(s), place "sibling" in first name

and indicate which day and class time session(s) will occur.

Dancer Sessions*

Number of Sessions ~ please enter the number of sessions from above.*

Individual photos will only be taken in classes listed above.

(Reminder all students will be photographed with the group)

Photo Ticket Deposit

I UnderstandI DO NOT understand, please call me.

PORTRAIT AGREEMENT & MODEL RELEASE: I have read and agree to the following statement: I commission photography by SKY, the photographer, to photograph myself and/or my underage children. I hereby grant photography by SKY and her legal representatives and assigns, the irrevocable and unrestricted right to use and publish photographs of myself, family, and/or child(ren), or in which myself, family, and/or children will be included for editorial, trade, advertising, and any other purpose and in any manner or medium; to alter the same without restriction; and to copyright the same. I hereby release photography by SKY and her legal representatives and assigns from all claims and liability relating to said photographs.*

I AgreeI DO NOT Agree

Your Photo Ticket coupon Code is included in your confirmation e-mail - please keep this safe.

Orders must be placed online within 10 days of the gallery opening to be delivered to the Dance Studio within 6‐8 weeks. Orders placed after the 10 days will incur a $6 shipping and handling fee.

Check/CashCredit Card

Pay by Check

Pay by Credit Card

USDPhoto Ticket Deposit

Credit Card Directions

Please review form. Upon hitting Submit - you will be taken to Paypal (no paypal account needed) to enter credit card info, you will not be able to hit the back button! Please  have your credit card ready before hitting submit.

One form per family

Photo Session Deposit