Simple Mothers Day Minis
Name
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First Name
Last Name
E-mail
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Phone Number
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Area Code
Phone Number
Select an Appointment Time
Number of People in Session
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Everyone's names & Children's Ages
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Note to Photographer & What Type of Session
Location will be N4416 dutch hollow rd monroe wi 53566
Client Portrait Agreement/Contract/Waiver & Copyright Acknowledgment
PORTRAIT AGREEMENT & MODEL RELEASE: I have read and agree to the following statement: I commission Dutch Hollow Photography, the photographer, to photograph myself and/or my underage children. I hereby grant Dutch Hollow Photography 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 Dutch Hollow Photography and her legal representatives and assigns from all claims and liability relating to said photographs.
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I Agree
I DO NOT Agree
COPYRIGHT: As a client of Dutch Hollow Photography, I acknowledge and understand that the images taken by Dutch Hollow Photography, PHOTOGRAPHER; Jessie Bennett, are protected by Federal Copyright Laws. I understand it is ILLEGAL to copy or reproduce these photographs elsewhere without the PHOTOGRAPHER's permission, and violators 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 hard drive, 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.
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I Agree
I DO NOT Agree
By signing below you certify that You have read this portrait agreement/contract and fully understand the contents thereof. You agree that you have the legal authority to grant these permissions and accept all responsibility for such.
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Photo Session Deposit
Non refundable $15 deposit - $60 due at time of session
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