Senior Focus

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Submit your senior milestone photo and information today. Please fill out the form below and email your picture to randy.baumgartner@kfyrtv.com.

1.Name(s)
Name*
2.Contact Phone Number
Phone*
3.Hometown
Hometown*
4.Birthday or Anniversary*
Birthday (80+ Years) Anniversary (50+ Years)
5.Which birthday or anniversary is being celebrated?
Year*
6.Submitter's first and last name.
Submitter*
7.Submitter's email address.
Email*
8.Copyright Notice: All photos submitted become property of KFYR-TV & Dakota Eye Institute. By submitting, you consent to have them displayed on television, our websites, Facebook, or by any other means, including promotional purposes. Not all photos submitted will be featured, and will be under the discretion of KFYR-TV & Dakota Eye Institute. We do not guarantee a response to your submission, nor do we promise notification prior to your photo being viewed by any method mentioned above.*
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9.Please enter your date of birth.
Month* Day* Year*

10.Terms and Conditions
I have read, understand, and agree to the Website usage agreement and privacy policy.
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IMPORTANT: Send picture to randy.baumgartner@kfyrtv.com.

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