Please complete the form below

A limited number of $30.00 sittings are available for individual children in the Photo Kids Portrait Contest that supports the Cure Kids a division of the Child Health Research Foundation. (special conditions apply.)

The finished portrait price will vary according to the size, style, and frame selected.

NOTE: Fields marked bold are required.

	YES! I wish to nominate the following children for the Photo Kids Portrait Contest and support "Cure Kids" - Child Health Research.
	Mr Mrs Miss Ms
Surname
First Name
	Birth dates Children's names
Relationship to child
Address
Suburb/City
Nearest photokids studio	Central, North & West Auckland East & South Auckland Wellington Christchurch
Email
Phone
Fax
Mobile
	If you have any other comments, write them here: