Senior Dedication/Ad Order Form 2022
Directions and layouts can be viewed on the senior google classroom and the Northview website

Please direct all questions to
Sign in to Google to save your progress. Learn more
Email *
Purchaser Information
If you have any questions, please email
First and Last Name of the person purchasing ad *
Purchaser's Phone Number *
Purchaser's email *
Student Information
Please ensure that spelling is correct and is typed as you would prefer it to appear on the ad.
Student Last Name *
Student First Name *
Dedication Ad Details
Size of Layout *
Layout Choice **Only One layout Can be chosen *
Payments can be made in the ASB office with a check, cash or credit card
Layouts are also posted on the Northview website AND on the senior class google classroom
Pictures must be emailed to *Pictures received cannot be airbrushed, altered, or touched-up on our end.* * Please number the pictures according to the layout placement.
Purchaser Agreement
I understand that pictures received and scanned cannot be airbrushed, altered, or touched-up. Only ONE photo is allowed per box on each layout (no exceptions and no premade collages). When I choose a layout I will try to match the portrait (vertical) and landscape (horizontal) orientations of each box with each photo I submit. *
I understand that by 3:30 P.M. on JANUARY 28th the following is due: 1. The full payment 2. ALL photos and the message must be emailed to *
I understand that the Viking Yearbook is a STUDENT generated publication. Although I expect to receive a professional and quality product the Viking staff delivers on a yearly basis, I also acknowledge that students, my son/daughter's peers, CREATE Northview's Yearbook. *
I understand that full payment must be received by January 28th or else the ad will not be created *
A copy of your responses will be emailed to the address you provided.
Clear form
Never submit passwords through Google Forms.
This form was created inside of Report Abuse