Yes, that's a photomanipulation. (In case you have any doubt, you might wonder why Schneizel is shoving his middle finger into Kanon's eye.) However, the following are quite real:
(http://smg.photobucket.com/albums/v492/megalomaniageek/?action=view¤t=schneizelpicdrama.png) From a picture drama
(http://smg.photobucket.com/albums/v492/megalomaniageek/Macros%20for%20Discussion/?action=view¤t=kanonschenzielfootwash.jpg) From a magazine scan
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From a picture drama
From a magazine scan