Metro Sports Youth -- Action Shots Form

Got Ya! Action Shots
Submission Form

Scroll down, Fill out and Submit the online information form provide on this page. Then return to this location to forward us your photo by using the E-mail link to the right ►

AFTER you have submitted
your form --Click Below to attach
& send us your photo. Include your
Name & Phone # in the e-mail body!

E-Mail

0r, download & fill out the information form, include your photo, send to us by U.S. Mail at the provided address

Click Below to Download Form...Select Either
MS Word Format or PDF Format

Natalie Moultrie
Metro Sports-Time Warner Cable
Attn: Got Ya! Photos
6550 Winchester
Kansas City, MO 64133

1) Fill out the following photo information form & submit

2) Return to this page and send us your photo

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Please fill in all appropriate spaces and check the appropriate boxes below.
(Use "tab" key or cursor to move to next box. --- Use "space bar" or "mouse click to mark check-boxes)

To Return to a specific box to add, change or delete information, place your cursor in that box.

Place your cursor in the "Date" box to begin filling out the form.
(Please use Upper Case letters only where appropriate!)

*NOTE: that you could lose all completed data on this form if you visit another webpage before submitting!

STEP 1

Today's Date (Month / Day / Year ) Example: 10-01-05

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Your Name

Street Address Apt. #

City State Zip

Home Phone # Cell Phone

E-mail

Name of Organization

Organization's Coach or Contact Name
...their Phone #

Briefly Describe the Organization

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Provide Information About your Photo Submission Below

What sport is taking place in your photo?

Where was the photo taken?

What was the event or occasion?

What date was the photo taken? Example: 10-01-05

Did your team win the event? Yes No Score or Finish

Briefly Describe The Photo You Are Submitting

What is the *exact "file" name of the photo you are sending us?
*Please be specific -- For Example: dan_soccer.jpg or jkswim 2.jpg
(Note: jpg or gif formats only)

*You MUST TYPE YOUR NAME in the provided location "AFTER" you READ FOLLOWING and AGREE to the following waiver:

By typing my name in the immediate space provided below, I agree that I am a consenting adult, and grant permission to Metro Sports Youth that they may use the afore described photo on Metro Youth Sports television program(s) and/or inclusion on their affiliated website (www.thekcsportsclub.com). Likewise, I grant permission to use provided names and other appropriate info related to the image. I understand that Metro Sports Youth will NOT broadcast or post personal addresses, home or cell-phone telephone numbers. Furthermore, I here-by agree to hold harmless and exclude Metro Sports Youth of any and all claims resulting from the unlawful and/or unauthorized use of said images and/or information by other known and/or unidentified individuals or parties.

Please Type Name Above -- If you do NOT type your name in this box your photo cannot be used.

Please read the following carefully in regard to e-mailing your photo to us

1) Send this information form by clicking the "Submit Form " button below

STEP 2
2) After returning to this page, click the button labeled "E-Mail Your Photo"

3) Provide your name and telephone number in the E-mail body

4) Attach your photo and send

AFTER you have submitted your form --
Click Below to attach & send us your photo.
Include your Name & Phone # in the e-mail body!

E-Mail Your Photo

THANK YOU! ...for Submitting your Photo!

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