Valentine Mini Questionnaire

Thank you for your time completing this questionnaire.  Your responses will help me customize your session.  Please let me know if you have any questions.  I look forward to your photoshoot!

Name *
Please note a legal guardian must be present for all minors being photographed.
Please check your agreement to the following: *
I understand this mini session includes 20 minutes of the Photographer's shooting time. The $99 (plus tax) package includes a private online viewing gallery, full photo retouching of all images, and download with printing rights to 10 images selected by the Client (additional print rights available for purchase at $15 per image). If The Client fails to show for the agreed date and time of the mini session, the $25 deposit will be surrendered.
Please check your agreement to the following: *
MODEL RELEASE: The Client hereby assigns and grants Jenny Havens Photography the irrevocable and unrestricted right to use and publish the photographs of The Client for editorial, trade, advertising or similar purposes. The Client releases Jenny Havens Photography and its legal representatives from all claims and liability relating to aforementioned photographs. It is agreed that Jenny Havens Photography may use the photographs taken for advertising, display, website/internet promotion, and similar purposes.