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Type of session

Engagement shootWeddingOther

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.

Requested Session Date & Time

MonthDayYearHourMinutesAM/PM Option

Number of People in Session*

Your Child(ren)'s names & ages*

Desired Session Location*

Type of Session*

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 AgreeI 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 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 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 time and date is not reserved until the deposit is received full and clear. Therefore, the deposit is non-refundable upon cancellation with less than 48 hour notice. 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 date 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 date due to bad weather may occur at my discretion only.*

NON-Refundable Photo Session Deposit$25.00

NON-Refundable NEWBORN Session Deposit$50.00

Book Your Photoshoot Session

Client Portrait Agreement/Contract & Copyright

Photo Session Deposit