Form must be filled out completely before participating in a Landscape Structures photo or video shoot.
Park/Site Location Information:
Pick the location & site date
-- Select an option --
Cannery Park, St. Cloud, FL - 03/13/2020
Douglas Park, Miami, FL - 03/17/2020
Eastmark Great Park Mesa AZ - 10/01/2019
Epcot 2020, Lake Buena Vista, FL - 03/14/2020
Gregory's Playground, Hilton Head, SC
Inspiration Park, Delano, MN - 10/12/2020
LaPark, LaPort, IN
Liberty Landing, Delano, MN - 10/6/2020
Lowcountry Celebration Park, Hilton Head, SC
New Aquatix Products, Delano, MN - 09/10/2020
New Products, Delano, MN - 10/21/2020
Parkview Hills Park, Delano, MN - 10/13/2020
Other Location
Parent/Guardian Information:
If participant is under age of 18, parent or legal guardian must consent to participate.
Parent/Guardian First Name
Parent/Guardian Last Name
Address
City
State/Province
-- Select an option --
Armed Forces - Americas
Armed Forces - Europe/Africa/Canada
Alaska
Alabama
Armed Forces - Pacific
Arkansas
American Samoa
Arizona
California
Colorado
Connecticut
District of Columbia
Delaware
Florida
Federated States of Micronesia
Georgia
Guam
Hawaii
Iowa
Idaho
Illinois
Indiana
Kansas
Kentucky
Louisiana
Massachusetts
Maryland
Maine
Marshall Islands
Michigan
Minnesota
Missouri
Northern Mariana Islands
Mississippi
Montana
North Carolina
North Dakota
Nebraska
New Hampshire
New Jersey
New Mexico
Nevada
New York
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Palau
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Virginia
Virgin Islands
Vermont
Washington
Wisconsin
West Virginia
Wyoming
Alberta
British Columbia
Manitoba
New Brunswick
NewfoundLand
Nova Scotia
Northwest Territories
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon Territory
Australian Capital Territory
New South Wales
Northern Territory
Queensland
South Australia
Tasmania
Victoria
Western Australia
Aguascalientes
Baja California
Baja California Sur
Campeche
Chihuahua
Chiapas
Coahuila
Colima
Distrito Federal
Durango
Guerrero
Guanajuato
Hidalgo
Jalisco
Estado de México
Michoacán
Morelos
Nayarit
Nuevo León
Oaxaca
Puebla
Querétaro
Quintana Roo
Sinaloa
San Luis Potosí
Sonora
Tabasco
Tamaulipas
Tlaxcala
Veracruz
Yucatán
Zacatecas
Zip/Postal Code
Country
-- Select an option --
United States
Canada
Åland Islands
Albania
American Samoa
Andorra
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas, The
Bahrain
Bangladesh
Barbados
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
British Virgin Islands
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Cook Islands
Costa Rica
Croatia
Curacao
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands (Islas Malvinas)
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern and Antarctic Lands
Gabon
Gambia
Georgia
Germany
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Honduras
Hong Kong SAR
Hungary
Iceland
India
Indonesia
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea
Kuwait
Kyrgyzstan
Laos
Latvia
Lesotho
Liechtenstein
Lithuania
Luxembourg
Macao SAR
Macedonia, Former Yugoslav Republic of
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Niue
Norfolk Island
Northern Mariana Islands
Norway
Not Applicable
Oman
Pakistan
Palau
Palestinian Authority
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Reunion
Romania
Russia
Rwanda
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
São Tomé and Príncipe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
South Africa
South Georgia and the South Sandwich Islands
Spain
Sri Lanka
Suriname
Svalbard and Jan Mayen Island
Swaziland
Sweden
Switzerland
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
U.S. Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Arab Emirates
United Kingdom
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Virgin Islands
Wallis and Futuna
Zambia
Email Address
Child/Participant(s) Information:
Provide name and age for each participant including yourself if attending the photo shoot. If you have more than 5 participants, please complete the form a second time.
Participant 1: First Name
Participant 1: Last Name
Participant 1: Age
-- Select an option --
6 to 12 months
12 to 23 months
2 years
3 years
4 years
5 years
6 years
7 years
8 years
9 years
10 years
11 years
12 years
13 years
14 years
15 years
16 years
17 years
18 years and older
Participant 2: First Name
Participant 2: Last Name
Participant 2: Age
-- Select an option --
6 to 11 months
12 to 23 months
2 years
3 years
4 years
5 years
6 years
7 years
8 years
9 years
10 years
11 years
12 years
13 years
14 years
15 years
16 years
17 years
18 years and older
Participant 3: First Name
Participant 3: Last Name
Participant 3: Age
-- Select an option --
6 to 11 months
12 to 23 months
2 years
3 years
4 years
5 years
6 years
7 years
8 years
9 years
10 years
11 years
12 years
13 years
14 years
15 years
16 years
17 years
18 years and older
Participant 4: First Name
Participant 4: Last Name
Participant 4: Age
-- Select an option --
6 to 11 months
12 to 23 months
2 years
3 years
4 years
5 years
6 years
7 years
8 years
9 years
10 years
11 years
12 years
13 years
14 years
15 years
16 years
17 years
18 years and older
Participant 5: First Name
Participant 5: Last Name
Participant 5: Age
-- Select an option --
6 to 11 months
12 to 23 months
2 years
3 years
4 years
5 years
6 years
7 years
8 years
9 years
10 years
11 years
12 years
13 years
14 years
15 years
16 years
17 years
18 years and older
Today's Date (mm/dd/yyyy)
Participant Signature - if over 18 (typing name represents signature)
Parent/Guardian Signature - if under 18 (typing name represents signature)
Submit