Dance Theatre of NJ 2018

Dance Picture Day 2018

Dancer(s) Last Name *

DANCE SCHOOL

Parents Name *

First Name Last Name

E-mail *

Phone Number *

Please list Dancer(s) and class info for I

Please list Dancer(s) for Individual Portraits ONLY.

No Form is necessary if you only desire group photos.

List actual class, day and time (not scheduled photo time if different).

List additional children and/or costumes 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.

To have siblings photographed together ~ add a session(s), place "Sibling" in first name

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

To have friends photographed together~ add a session(s), place "Friend" in first name

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

Company Costumes - Please list SONG TITLE in Class

Individual photos will only be taken in classes listed below.

(You are not required to have an individual in every costume, only list those classes that you desire an individual costume portrait in. Reminder, all students will be photographed with their group.)

Dancer Sessions *

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

Number of sessions must match lines of

Dancer Sessions from above

Photo Coupon Deposit

What is a Photo Coupon? Your Photo Coupon is simply a deposit towards your online order- which becomes your minimum purchase. One Photo Coupon per Family. Your Photo Coupon contains your unique coupon code that you enter at the end of the online ordering process to ensure your deposit amount is deducted from your order total. *

I Understand I 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 Agree I DO NOT Agree

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

Please place your online order within 10 days of the gallery to avoid a $6 shipping and handling fee. Orders will be delivered to the Dance Studio within 6‐8 weeks.

Payment Method *

Credit Card

Photo Deposit

USD Photo Deposit

Credit Card
First Name	Last Name
Credit Card Number	Security Code
Expiration Date	Postal Code

One form per family

Photo Session Deposit