Township of Nutley /
44 Park Avenue, Nutley, NJ 07110
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Parks & Recreation Department
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Commissioner Mauro G. Tucci
May 11, 2018 WALKING IN FAITH FASHION SHOW Model Registration Form
MODEL INFORMATION NAME: ADDRESS: EMAIL: AGE:
PHONE:
Model Registration Fee: Inital fee is $15.00 then $7.00 for any additional member of the household. Please pay by cash or check. All checks are to be made out to The American Cancer Society. SUBMIT ALL FORMS WITH PAYMENT NO LATER THAN APRIL 11, 2018 BY MAIL OR MAILBOX DROP OFF AT PHOTO ARTS PRODUCTION STUDIO There will be 2 rehearsal dates at Nutley Parks & Recreation: Dates TBD Models MUST attend at least 1 rehearsal but are welcome at both. Photo Arts Productions Photograph Release Form: This release form gives Photo Arts Productions, Parks & Recreation, and the American Cancer Society permission to use the photographs taken at the fashion show. By signing this form you are in agreement that the photos taken for and at the Walking in Faith Fashion Show can be used for displays, websites, brochures, promotional material, etc.
Please Print Your Full Name: I ______________________________________________ give Photo Arts Productions, Parks & Recreation and the American Cancer Society permission to use the photographs taken by Photo Arts for promotional purpose. Signature: ____________________________________________________ Date: ______/________/ 2018 PHOTO ARTS PRODUCTONS 664 Franklin Avenue, Nutley, NJ 07110
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Phone: (973) 830-0416
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e-mail:
[email protected] flyer design by: www.PartyPleaseDesigns.com