Dexter Orthodontics

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Register for Santa Photos!

Please provide us with permission for all the photos taken today and your contact information so we can assign your “Santa Smile number” to be used with your photos. Your number will be displayed on the screen, emailed, and texted after you register. Also, when your photos with Santa are ready, you will be emailed a link to download them using this number.

First Name*

Last Name*

Email*

Cell Phone Number*

Address

City

State

Zip

Name of child 1

Age

Name of child 2

Age

Name of child 3

Age

Name of child 4

Age

Name of child 5

Age

Optional: Upload a couple of reference photos from the event of your registered kid(s) — it helps Santa's elves ensure we have the right family photos later and gives us even more great moments to share on social media!

Photo Upload 1 (JPG only)

Photo Upload 2 (JPG only)

By checking this box I certify that I am 18 years of age or older (or have permission from my legal guardian.)

I hereby grant Dexter Orthodontics permission to use of the event photo(s) for the purposes of advertising, including but not limited to internal office postings, promotional/educational materials, and internet websites/social media. The supplied images shall not be distributed or exploited separately or independently of Dexter Orthodontics.

Please send me information on a complimentary orthodontic exam for my age 7+ child(ren). (No referral required!)