First Name*

Last Name*

Maiden Name

Your Year of Graduation*

Email*

Mobile #*

Picture 1

Max file size: 10 MB

Picture 1: From Left to Right, List the Names & Years of Graduation for all pictured

Please separate all names by a comma.

Picture 2

Max file size: 10 MB

Picture 2: From Left to Right, List the Names & Years of Graduation for all pictured

Please separate all names by a comma.

Picture Attachment

Max file size: 10 MB

Picture 3: From Left to Right, List the Names & Years of Graduation for all pictured

Please separate all names by a comma.

PHOTOGRAPHIC CONSENT AND RELEASE

I hereby authorize St Joseph High School (“St Joes”), and those acting pursuant to its authority to: (a) Use my name in connection with these photographs. (b) Use, reproduce, exhibit or distribute in any medium (e.g. print publications, video, social media) these photographs for any purpose that St Joes, and those acting pursuant to its authority, deem appropriate, including promotional or advertising efforts. I release St Joes and those acting pursuant to its authority from liability for any violation of any personal or proprietary right I may have in connection with such use. I understand that all such photographs, in whatever medium, shall remain the property of St Joes. I have read and fully understand the terms of this release.

Yes, I agree to the terms above