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Submit Photo
Items marked with * are required
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Dog Information
Dog 1 Registered Name: *
Dog 1 Call Name: *
Dog 2 Registered Name:  
Dog 2 Call Name:  
Submitter Information
Submitter Name (first, last):
 
*
Submitter Address 1:  
Submitter Address 2:  
Submitter City, State or Province, Postal Code:
   
 
Submitter Country:  
Submitter Email: *
Submitter Phone: *
Is Submitter also the dog owner:
Photographer Information
Photographer Name (first, last):
 
Image Submission
Image File (jpg): *
Legal ReleaseIf any of the photos I’ve submitted are selected as finalists, I give Nutmeg Portuguese Water Dog Club the right to publish the photo(s) in the calendar with the understanding that for this right there will be no fees, remuneration or any other compensation transmitted to me, the owner of the dog(s) if I am not the owner or the photographer. Further, I give Nutmeg PWD Club the right to publish the owner’s name, the dog's name and the photographer's name. I also understand that Nutmeg PWD Club may use the photo(s) in promotional materials directly related to the calendar. I confirm that I am the owner or authorized agent of the dog and I have permission from the photographer to allow Nutmeg PWD Club to publish the photo.

*