Holt Graduate Submissions

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We welcome the photo submission of your graduate! Please follow the guidelines listed below:

If you would like to mail us a print photo, please mail original color print photos and a PDF of the graduate release form to:

   Graduate Photo Submissions
   Holt International
   P.O. Box 2880
   Eugene, OR 97402

Or click here and continue to the photo release form.

Please use the form below to send us your digital photo.

Steps:	For a PC, simply click on the "Browse..." button and locate your image file on your computer.(for a Mac, click on the "Choose File" button)
	Once you have located the file, select "Open" or "Choose"
	The path to your image file should be listed in the field below.
	If the path is correct, fill out the infomation and click the "Submit" button.
	Your image file will be sent to us.
	(You may send us up to 2 image files)

Send us your photo

Image File 1 (less 3 MB )

Image File 2 (optional - less 3 MB)

I, the undersigned, hereby consent to the reproduction, use, and/or exhibition of the information I have provided below and my photograph, a photocopy of which is attached hereto, by Holt International Children’s Services, Inc. (“Holt”). I further release Holt from any and all claims for damages for libel, slander, invasion of privacy, or any other claim based on use of the above-described materials. The consideration for this release is other than money, the sufficiency and receipt of which is hereby acknowledged by the undersigned. Neither Holt nor anyone associated with Holt has made any promise of any other compensation in relation to this release. This release extends to the employees, agents, licensees, successors, and assignees of Holt.
Holt may use the above-described materials in the following manners: (please check boxes)

Holt may use these materials in the following manners:

Holt International magazine print and online
Holt's Website (www.holtinternational.org)
All manner of media, including unrestricted use for purposes of education, publicity, advertising, trade, display, editorial, exhibits, fundraising, and art.
I do further consent to the use of my photograph(s) by any other organization designated by Holt International Children's Services, including any other publisher, periodical, agency or client, and such photograph(s) may be used for any of the following purposes without any limitations or reservations: advertising, trade, display, editorial, exhibits, fund raising, and art purposes.

Information about the Graduate

* indicates a required field

*Name:
*Address:
*City:
*State:
*Zip:
*Phone Number:
*Email:
*Birth Country:

If you have just graduated from high school, fill out this section:

High School Activities/Sports/Awards/Honors:
College Planning to Attend:
Location:
Major:
Plans if not Attending College:

If you have just graduated from college, fill out this section:

College:
Location:
Degree:
Major:
College Activities/Sports/Awards/Honors:
Career or other Plans:

Guardian's Consent

The undersigned represents that he/she is the parent and/or guardian of the graduate named above and represents that he/she has the legal authority to execute the preceding consent and release and hereby approves the preceding and waives any rights in the premises.
Name:
Spouse's Name:

Extra Copies of the Magazine

Name:
Address:
City:
State:
Zip:

I declare that I am more than 18 years old.

If you need assistance when uploading your image, please contact nettech@holtinternational.org.