Plymouth Orthodontics

Submit your senior photo for a chance to win $100!

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Submit Photos

Submit your entry below for a chance to win $100 during each day of Senior Week!

That's 5 days, 5 winners, and a total of $500 in giveaways!

All entries must be received by May 31, 2025—don't wait, upload now!

First Name*

Last Name*

High School*

Are you a patient of Plymouth Orthodontics?

Email*

Phone Number*

What social media platforms do you use?

Legal Guardian Name (if under 18)

Note: If you try to upload images that are 8 MB or more, you might get an error. If that happens, either reduce the image size or email them using the instructions below.

Photo Upload 1 (JPG only)

Photo Upload 2 (JPG only)

Photo Upload 3 (JPG only)

Photo Upload 4 (JPG only)

Photo Upload 5 (JPG only)

Photo Upload 6 (JPG only)

What are your plans after high school?

To be entered TWICE in our drawing, please leave us a review of your treatment experience at our office that will be put on our upcoming new website!

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 Plymouth Orthodontics permission to use my senior photo(s) for the purpose of advertising including, but not limited to, internal office postings, video display monitors, newspaper/magazine/billboard advertisements, promotional/educational materials, and company internet websites/social media. The supplied images shall NOT be distributed or exploited separately or independently of Plymouth Orthodontics.

If you are having trouble with the online form, just download and fill out the release form then email everything to info@plymouthortho.com.