“The Lovers” Package
End-of-Life Portrait Session Form
Pet's Information
Name
*
Breed/Mix
*
Age
Tell me all about your pet. What are your favorite things about your pet? What do you want the world to know about your pet?
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Session Preferences
Wicked K9 Photography will always prioritize the comfort, wellbeing, and safety of your pet.
I would prefer to shoot...
*
in my home/yard.
at a location.
I would like photos of...
*
only my dog.
me with my dog.
my dog with other pets in the household.
My dog has a specific ______ that I would like featured.
Bed
Toy
Collar
Type option 4
Please describe any physical limitations your dog has.
Ex. unable to stand for long periods, difficulty getting up, tires easily
If you have a specific shot or pose in mind, please write it here.
Ex. dog and human facing away from camera
Wicked K9 Photography reserves the right to decline any suggested poses which may pose a serious threat to your pet's safety or cause undue harm or stress to your pet.
*
I understand.
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Pet Parent's Information
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
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I hereby authorize Wicked K9 Photography to edit, alter, copy, exhibit, publish, distribute, and make any use of any and all photographs of my pet to be used for any lawful purpose.
*
I authorize the use of my pet's and my photograph for, but not limited to, publication on the internet, magazines, journals, books, articles, etc., provided that it is done for lawful purposes.
*
I hereby waive the right to inspect or approve any finished product in which my pet's likeness appears.
*
I hereby waive my right to any royalty or any other compensation with regard to the usage of the photos referred to in this Form.
*
I agree to this release without being compensated. I waive any right to royalties or other compensation arising or related to the use of any photo or video of my pet.
*
I hereby hold harmless and release Wicked K9 Photography from all liability, petitions, and causes of action which I, my heirs, representatives, executors, or any other persons may make while action on my behalf or on behalf of my estate.
*
I hereby acknowledge that this authorization shall continue indefinitely, unless I otherwise revoke this authorization in writing.
*
Signed on this date:
*
/
Month
/
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Signature
*
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