| Your First
Name |
|
| Your Last
Name |
(for multiple
models, please place all names, ages and vitals in
"comments" section) |
| Your Email
Address |
|
| Your Phone (please include area
code) |
|
| Best way to
contact |
Email
Phone |
|
| What
kind of photo session would you like to schedule? (photo type) |
If you selected "Other" please advise
your interest: |
You may select multiple categories
by holding the "shift" key while clicking the
entries
|
When would you
like to schedule the Photo Shoot? (Please provide your preferred
date/time, and two alternatives) |
Preferred
Date/Time
Alternative 1
Alternative 2
|
|
| Your Age |
must be over18
for multiple models, please include all names, ages and
vitals "comments" section) |
|
|
| Section 2:
Models - Please Complete this section. Otherwise
please proceed to section 3. |
| Gender (# of
models of each gender) |
Female
|
Male
|
| Your Eye
Color
Your Hair Color |
|
| Your Measurements (if unknown, please state so. For multiple
models, please place all names, ages and vitals in
"comments" section) |
| Height |
|
| Weight |
|
| Chest |
|
| Waist |
|
| Hips |
|
|
|
| Section 3: |
|
| Referred by (please leave blank if
you were not referred by anyone) |
|
| Comments |
|
| Promotion Code |
|
| Please complete the following Release
Form |
| I/we,
(" Model/Models"),
hereby certify that I/we am/are over 21 years of age, am
the legal guardian for all Models posing in a family or
pet photo shoot, or otherwise meet the Age of Majority
requirements in my State, and do hereby grant photo
BY ZES ("Company"), studio, heirs or assignees,
successors and legal representatives the unrestricted
and irrevocable right to photograph me/us clothed or
nude, without any restriction as to changes or
alterations including but not limited to composite or
distorted representations or derivative works made in
any medium ("Photographs") in all forms and in all
media, electronic or otherwise, in all manners. I
HEREBY RELEASE AND AGREE TO HOLD HARMLESS THE COMPANY,
STUDIO, HEIRS OR ASSIGNS, SUCCESSORS OR LEGAL
REPRESENTATIVES FROM ANY AND ALL LIABILITY. |
|
|
| THIS RELEASE FORM MUST BE DIGITALLY
"SIGNED" BELOW, TO BE PROCESSED |
| I AGREE
TO THIS FORM OF DIGITAL SIGNATURE, AND THAT I REPRESENT
ALL MODELS LISTED: |
|
| Your Full
Name |
|
| Your Address
1 |
|
| Address Line
2 |
|
| City
Province or state
Postal Code |
|
I CERTIFY THAT I
AND ALL MODELS LISTED ARE AT LEAST 21 YEARS OLD, OR THAT
I AM THEIR LEGAL GUARDIAN, AND AS THEIR REPRESENTATIVE,
AGREE TO THIS ENTIRE RELEASE FORM: |
|
|
