Kingpin College Photo/Description Submission Form
Your name
Your email
Full name with middle initial on diploma
Degree desired:
PhD in Beanie Avionics or or PhD in Beanie Design
Beanie Avionics
Beanie Design
Your mailing address
City State Zip
OPTIONAL: Describe any special details about the picture(s) submitted like "At Disneyworld", "In the Price is Right studio audience" or whatever:

Attach up to 3 picture files below
File Attachment
File Attachment
File Attachment

By submitting form, you agree to our MODEL RELEASE AND CONSENT AGREEMENT:

I irrevocably consent to the use by Kingpin and its successors of all images submitted for advertising and promoting Kingpin hats. This agreement constitutes the sole, complete and exclusive agreement between the parties.