Picture Removal Form

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This request can only be completed by person or parent/guardian of person in picture.

Your Name

Person in the picture:

Could you briefly describe the picture you would like us to remove:

Please provide a means of contact so that we can confirm you have consent to make this request. If you are under 18, please provide an email or phone number of your parent/guardian.

Email

Number
this is a  cell work phone home phone