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Request for Access

SWI PHOTOGRAPHY

P.O. Box 357340
Gainesville, FL 32635-7340
(352) 378-8411 FAX: (352) 378-0573

I, am submitting this Request for Access form for:

Student Information:

Student First Name: Student Last Name:

School:

Teacher/Coach’s Name:

Grade:

Students Address: ,

Month/Year Photographed:

Type of Photography:

Details:

Legal Guardian Information:

Guardian Name:

Email:

Phone:

I certify that I am 18 years of age or older, or the legal guardian of the above named student. I will indemnify, defend, and hold harmless SWI Photographers, its affiliated companies, directors, officers, employees and representatives from any claim or demand (including costs, expenses, and reasonable attorneys fees) arising out of or relating to printing or delivering portraits photographed by SWI Photographers.

By completing the form, and e-signing the document you agree to SWI Terms & Conditions.

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Your legal name

Your email address

Please Confirm full name and signature.

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Timestamp

Audit

July 2, 2020 9:52 am EDT

Request for Access Uploaded by SWI Photography - jacob@swiphoto.com IP 64.238.189.231

July 2, 2020 10:46 am EDT

SWI Customer Service - customerservice@swiphoto.com added by Jeff Wilkinson - request@swiphoto.com as a CC'd Recipient Ip: 192.163.205.245

July 6, 2020 3:43 pm EDT

SWI Customer Service - customerservice@swiphoto.com added by SWI Photography - request@swiphoto.com as a CC'd Recipient Ip: 192.163.205.245

July 6, 2020 3:43 pm EDT

SWI Studio - studio@swiphoto.com added by SWI Photography - request@swiphoto.com as a CC'd Recipient Ip: 192.163.205.245

July 6, 2020 3:46 pm EDT

SWI Studio - studio@swiphoto.com added by SWI Photography - customerservice@swiphoto.com as a CC'd Recipient Ip: 192.163.205.245

April 11, 2022 4:18 pm EDT

SWI Studio - studio@swiphoto.com added by SWI Photography - customerservice@swiphoto.com as a CC'd Recipient Ip: 192.163.205.245

August 16, 2022 10:55 am EDT

SWI Studio - studio@swiphoto.com added by SWI Photography - jacob@swiphoto.com as a CC'd Recipient Ip: 64.238.189.231