25 Night Lights

NIGHT LIGHTS

Monday, December 8, 2025 at 6:00pm

The Location for the Promo is:

218 N MARKET ST

MINERVA, OH 44657

When you arrive, park on the brick street.

As soon as your entire group arrives, enter through the main front doors at the loft.

THINGS TO REMEMBER:

There is no where to change your clothes, so please arrive dressed and ready to be photographed
EVERYONE in the photograph pays $20 and EVERYONE in the photograph gets a framed 4x6
Ages 7 & up, please.

Be sure to be on time.

NOTE: If you would like to be photographed individually or with a secondary group in addition to your original group, fill out an additional pre-registration form.

The Rules Are Simple

-You must complete this registration form/pre-pay prior to arrival - Arrive dressed and ready to be photographed

I understand

Information - Person Being Photographed

First and Last Name

Cell Phone

Birthday xx/xx/xxxx

What School Do You Attend?

Parent Information

Parent First Name

Parent Last Name

Are You A 2026 Dunlap Photography Ambassador?

Are You An Ambassador Plus Program Member?

Yes - Elite
Yes - Epic
No

Ambassador Plus: Elite

Elite ambassadors receive 1-4x6 framed print for up to 4 promos. Which promo is this counting towards?

Promo 1 of 4
Promo 2 of 4
Promo 3 of 4
Promo 4 of 4
I have used all my pre-paid promos ... I need to purchase a framed 4x6 for this promo + $20.00

Ambassador Plus: Epic

Epic ambassadors receive 1-4x6 framed print for 5-8 promos. Which promo is this counting towards?

Promo 1 of 8
Promo 2 of 8
Promo 3 of 8
Promo 4 of 8
Promo 5 of 8
Promo 6 of 8
Promo 7 of 8
Promo 8 of 8

Please list first and last names of everyone else being photographed with you

Would you like to order additional prints now to recieve reduced pricing?

Yes, please!
No Thank You

Select Your Package

2-8x10, 4-5x7, 8 Wallets + $45.00
1-8x10, 2-5x7, 4-4x5, 8 Wallets + $35.00
2-5x7, 2-3.5x5, 4 Wallets + $25.00

Do you need any extra duplicate Add-On Items?

Portrait Agreement

Sign Here (Type Your Name)

MODEL RELEASE: I understand that Dunlap Photography reserves the right to use images and/or reproductions for purposes of display, exhibition, contest and other purposes, including, but not limited to, advertising and promotion.

Sign Here (Type Your Name)

OWNERSHIP OF IMAGES: Images remain the property of Dunlap Photography and Dunlap Photography has the exclusive right to make additional reproductions from them for the client.

Sign Here (Type Your Name)

UNCLAIMED FINISHED ORDERS: I understand if I do not pickup my order within 90 days of notification that it is ready, I will forfeit any payments I have made and my order will be destroyed.

Sign Here (Type Your Name)

COPYRIGHT: I further understand that all photographs whether preview or finished portrait, are protected by the U.S. Copyright law; copying or reproducing them in any way (including scanning/ uploading to social media) without written consent of Dunlap Photography is illegal. Images for social media are available for purchase with qualifying order and must be displayed with the Dunlap Photography logo on the image as presented.

Billing Address

Address Line 1

Address Line 2

City

Country

Select

State/Province

Select

County

Select

Zip Code

Sub Total

$0.00

TOTAL

$0.00

Payment Method

Credit Card - Square

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Thank You For Pre-Registering For Your Night Lights Promo!

NIGHT LIGHTS

Monday, December 8, 2025 at 6:00pm

The Location for the Promo is:

218 N MARKET ST

MINERVA, OH 44657

When you arrive, park on the brick street.

As soon as your entire group arrives, enter through the main front doors at the loft.

THINGS TO REMEMBER:

There is no where to change your clothes, so please arrive dressed and ready to be photographed
EVERYONE in the photograph pays $20 and EVERYONE in the photograph gets a framed 4x6
Ages 7 & up, please.

Be sure to be on time.

NOTE: If you would like to be photographed individually or with a secondary group in addition to your original group, fill out an additional pre-registration form.

Please text Leslie with any questions! 330.806.4096

View Submission