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Photography Session -Form Fill

Section One
Q1

Name*

First Name
Q2

Name*

Last Name
Q3

E-mail*
Q4

Phone Number*

Area Code
Q5

Phone Number*

Phone Number
Q6

Address*

Street Address
Q7

Address*

Street Address Line 2
Q8

Address*

City
Q9

Address*

State / Province
Q10

Address*

Postal / Zip Code
Q11

Address*

Country
Q12

Did AC Photography give you a session to confirm prior to filing out this form?*
Q13

Number of People in Session*
Q14

Your Spouse's Name & Child(ren)'s names/ages*
Q15

Session Location*
Q16

Type of Session*
Q17

Note to Photographer
Q18

PORTRAIT AGREEMENT & MODEL RELEASE: I have read and agree to the following statement: I commission AC Photography LLC, the photographer, to photograph myself and/or my underage children. I hereby grant AC Photography LLC and her legal representatives and assigns, the irrevocable and unrestricted right to use and publish photographs of myself, family, and/or child(ren), or in which myself, family, and/or children will be included for editorial, trade, advertising, and any other purpose and in any manner or medium; to alter the same without restriction; and to copyright the same. I hereby release AC Photography LLC and her legal representatives and assigns from all claims and liability relating to said photographs.*
Q19

COPYRIGHT: As a client of AC Photography LLC, I acknowledge and understand that the images taken by AC Photography LLC, PHOTOGRAPHER; Andrea Cluka, are protected by Federal Copyright Laws. I understand it is ILLEGAL to copy or reproduce these photographs elsewhere without the PHOTOGRAPHER's permission, and violaters of this Federal Law will be subject to its civil and criminal penalties. A limited PRINT RELEASE is supplied with the purchase of my session digital files to print your portraits for your own personal use. The print release does not allow publication of your portraits (i.e. entering in contests), selling or altering your images without the PHOTOGRAPHER's permission. Reproduction includes, but is not limited to scanning, downloading, right-clicking, emailing, saving to harddrive, posting on websites or blogs, photocopying, obtaining screen shots, or printing in any manner. I agree to honor the copyright laws as stated in this agreement.*
Q20

A non-refundable deposit is due upon booking in order to reserve your Session. All remaining Balances including 5.6% sales tax is due at the time of session. No part of any order, including proofs will be delivered until the balance is paid in full. Your desired session is not reserved until the deposit is received full and clear. Therefore, the deposit is non-refundable. If you cancel with less than 48 notice, you forfeit your deposit and may not reschedule without a new deposit. Re-scheduling may occur to save your deposit if you give at least 48 hours notice and the session is rescheduled within 2 weeks of the original reserved date or if there is a family emergency or serious illness. I cannot always guarantee an available date two weeks out but will try my best to accommodate. Re-scheduling of the session due to bad weather may occur at photographers discretion only.*