Booking Form 2017

Name*

First NameLast Name

E-mail*

Phone Number*

Area CodePhone Number

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

If you have a specific date and time, enter it below. If you are flexible, or you don't know when yet, you can leave the Date and Times section blank.

Please note: I typically do sessions close to sunrise or sunset for the best lighting.

Requested Session Date & Time

MonthDayYearHourMinutesAM/PM Option

Number of People in Session*

Type of Collection*

Type of Session*

Describe Desired Location*

Name(s) and birthday(s) of those being photographed (I see birthday shout out(s) in your future!)

Notes to Photographer:

If this is for an event or homecoming please provide all details possible. If you feel umcomfortable providing it here, you may message me at niakoreenphotography@yahoo.com or text me (623) 521-1267. If you request a phone call or meet up, let me know so I can give you my undivided attention.

PORTRAIT AGREEMENT & MODEL RELEASE: I have read and agree to the following statement: I commission Nia Koreen Dickinson of Nia Koreen Photography, the photographer, to photograph myself and the rest of my party which may include underage children. I hereby grant Nia Koreen 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 Nia Koreen Photography and her legal representatives and assigns from all claims and liability relating to said photographs.*

I AgreeI DO NOT Agree

COPYRIGHT: As a client of Nia Koreen Photography, I acknowledge and understand that the images taken by Nia Koreen Photography, PHOTOGRAPHER; Nia Koreen Dickinson, 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 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.*

I AgreeI DO NOT Agree

EDITING TIME: I understand and acknowledge that photos can take up to 3 weeks before I am able to see all of the edited images. In cases of an event, it may take up to 4 weeks. If this time frame does not work for me I understand that I may have to pay a rush fee. I also understand and acknowledge that there will be previews of the session posted to www.facebook.com/niakoreenphotography as they are edited.*

I AgreeI DO NOT Agree

LIABILITY: Nia Koreen Photography and photographer is not responsible if anyone is hurt in any form during a session. If I or anyone in my party feels uncomfortable with a pose or location, I/We must voice our concern so it can be addressed. If I/anyone in my party is jumping, climbing, running, or any other sort of physical activity that can cause someone to be injured, it is not Nia Koreen Photography's and/or photographer's fault if someone is hurt.*

I AgreeI DO NOT Agree

By signing below you certify that You are at least 18 years of age. 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.*

A non-refundable session service fee is due upon booking in order to reserve your Session. All remaining balances are due at the time of session. No CD, USB and/or print release will be delivered until the balance is paid in full. Your time and date is not reserved until the non-refundable session service fee is received full and clear. The non-refundable session service fee is non-refundable. If you need to reschedule, you must do so 48 hours before the session otherwise the session will require another non-refundable session service fee. If you reschedule, the rescheduled date must be within 2 weeks of the original reserved date or the soonest the photographer has available. If there is a family emergency or serious illness and rescheduling needs to happen and it is less than 48 hours notice, documentation must be shown in order to not be charged the non-refundable session service fee again. Re-scheduling of the date due to bad weather may occur at the photographer's discretion only.*

NON REFUNDABLE session retainer fee (remaining balance is due before or at the time of session)$40.00

Collection 1 (be sure to select the non refundable session retainer fee as well)$120.00

Collection 2 (be sure to select the non refundable session retainer fee as well)$160.00

Collection 3 (be sure to select the non refundable session retainer fee as well)$260.00

Event (this does NOT include your session retainer, please select that as well)$200.00

Quantity

Homecoming (be sure to select the non refundable session retainer fee as well)$160.00

Additional digital image$20.00

Quantity

Additional outfit$10.00

Quantity

Additional location (within 15 min drive)$50.00

CD (including if your original was lost or stolen)$15.00

Quantity

USB (including if your original was lost or stolen)$30.00

Quantity

Rush Fee (7-10 day turnaround time)$50.00

Hurry & Scurry Fee (3-6 day turnaround time)$100.00

Shipping Fee$10.00

Gallery Reload Fee$40.00

Wallets (4)$10.00

Quantity

4 x 6 Print$10.00

Quantity

5 x 7 Print$15.00

Quantity

8 x 10 Print$20.00

Quantity

11 x 14 Print$30.00

Quantity

8 x 10 Gallery Wrap/Canvas$80.00

Quantity

11 x 14 Gallery Wrap/ Canvas$120.00

Quantity

16 x 20 Gallery Wrap/Canvas$150.00

Quantity

Mini Accordion$40.00

Quantity

Other (Must discuss with photographer before selecting)$ Free

Enter coupon

Total $0.00

PLEASE NOTE: There is no changing collections after the session has been done. If you decide you'd like all the photos, after selecting collection 1 or 2, it's a per image cost. Please disregard if you are already selecting collection 3.*

I UnderstandI do not understand (please ask the photographer any questions necessary to clarify this)I selected collection 3Do not apply to my session

Referred by Someone? Let me know who!

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Book Your Session

Client Portrait Agreement/Contract & Copyright

PAYMENT PORTION

Book Your Session

Client Portrait Agreement/Contract & Copyright

***PAYMENT PORTION***

PAYMENT PORTION