Portrait Participation Form
Find us on:
CUSTOMER ID# photographer use oniy
A ' b y N AT I O N W I D E S T U D I O S , I N C
-
PORTRAIT PARTICIPATION FORM
w w w. t e d d y b e a r p o r l r o i l s b l o g . c o m
Sign up today to join in the fun!
Without this form, your child's portrait
package will not be printed and available
for purchase on Portrait Selection Day.
PASSING NOTES
Complete and return before Portrait Day. ONLY
ONE FORM PER FAMILY is necessary since siblings
will be photographed together and individually.
PHOTOGRAPHER USE ONLY
We provide you with memories of your child
that are guaranteed to last a lifetime. Your
portraits will be replaced without charge if
any of these should occur: natural disasters,
fading, adhering to glass or discoloration.
Scan this QR Code to Watch the
Teddy Bear Experience!
or visit:
toddybcarcxpcrience.com
PA R E N T I N F O P l e a s e P R I N T c l e a r l y i n A L L C A P S u s i n g b l u e o r b l a c k b a l l p o i n t p e n o n l y.
Parent First
Parent Last
Address
-
Phone
State
City
Zip
Email*
* Email Address required to receive
S Pr E
a
t CIALv.
Digital Images {if purchased)
[hair,
i
clothing.
CHILD NAME
R E Qm
U Fl S T C ;
p,op
Ktuuts
or
Any
13
-O.ouch,ngl
br e t o u c h, i n g
fee
'a,
$,
|he
2
12m XS<2-5> S{6-8> MtlO-12) 1(14-151
Girl Boy
o o
o o o o o
o o o o o
12m XSiJj) Sis-?) M(io-i2) Lii4-i6i
Girl Boy
12m XSfi-4) SlO-81 M(1(M2> 1.(14-16)
Girl Boy
12« XSp-i) S.mi Mow*, Ltiw«
o o
3
-
I
om
the
[write
your
relationship]
regarding special offers.
PHOTOGRAPHER USE ONLY
BRIEF DESCRIPTION
o o o o o
o o
4
• Ypc 1 would like to receive emails
pufchosea
Girl Boy
o o
Agreement
o(
G e n d e r A g e Te a c h e r G r a d e T - S h i r f S i z e
1
Portrait
r e q u e s rt se l o u c h i n
a rge
5
„me
o o o o o
of
the
child/children
for
whom
I
am
authorizing photographs to be taken by Nationwide Studios. I agree that any purchase of these photographs by me will be for o lawful and
non-commercial purpose. I also agree to reimburse and hold Nationwide Studios harmless Irom any claims or disputes which may arise as a
result of my unlawful, improper or commercial use of these photographs.
Signature
Privacy Statement ■ Nationwide Studios does not share personal information about you with other people or companies unless required
to do so to process and ship your orders, alert you of fuluro offerings or events, where roquired by law, or when necessary to investigate,
prevent, or take action regarding possible illegal activities. Nationwide Studios will not use any image for advertising or public platform
wilhout the expressed written consent from the parent
Date
"Finished Portraits" will be available to purchase and take home in approximately 2-3 weeks.
Teddy Bear Portraits • 1-800-338-3339 • www.teddybearportraits.com
2014JWv2
© Copyright 2024