Photography Session Booking Form

REQUEST PRICING & INQUIRE ABOUT A DATE
Name *

First Name Last Name
Email *
Phone Number

Area Code Phone Number
Address/location of desired photoshoot *

Street Address

Street Address Line 2

City
If you have a specific date in mind, please enter it below. If you are flexible, or you don't know when yet, you can leave the Date section blank.
Date

Month Day Year
I am interested in learning more about: *

Maternity Newborn Hospital Photos Birthday Party Family Photo Session Good-bye NYC (or neighborhood!) Other (please explain in comment box below)
Your Child(ren)'s names & ages *
Number of People in Session *
How did you hear about me? *

Facebook From a Friend Google Gymboree Instagram Yelp Other
Client Portrait Agreement/Contract & Copyright
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. *

I Agree I DO NOT Agree
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. *

I Agree I DO NOT Agree
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REQUEST PRICING & INQUIRE ABOUT A DATE

Client Portrait Agreement/Contract & Copyright