ADOPTION QUESTIONNAIRE

So many congratulations on your successful adoption!! I am truly honored to be a part of your celebration :)

Due to the possible sensitive nature of your child's history, required information is marked with an *. Feel free to leave the unmarked boxes empty if you desire. 

Once this form is submitted, I will connect with you about the details!

Dad's Name *
Dad's Name
Mom's Name *
Mom's Name
Address *
Address
Phone Number *
Phone Number
Am I there to only photograph the ceremony, or will there be time for family portraits afterward?
Date of Ceremony *
Date of Ceremony
Time of Ceremony *
Time of Ceremony
Location of Ceremony *
Location of Ceremony
Photo Submission *
If you entered the name of your organization, do you grant me permission to submit the photos for use on their website?
What products are you interested in: *
I agree that filling this form also serves as a model release for me and my family. *
MODEL RELEASE I grant full ownership and copyright of all photographs produced within this session to the above named photographer along with the right to reproduce any of the images (and by any means chosen). I am also in agreement that any licensee or assignee in legal correspondence with the about named photographer can use the photographs in any way and in any medium the above named photographer, licensee(s) and/or assignee(s) hereby obtain the rights to use the photographs under no restrictions whatsoever and for whatever purposes, including advertising, with any post processing or manipulation within reason. I agree that any of the above mentioned photographs or manipulations used by the photographer, licensee(s) and/or assignee(s) to represent an imaginary person shall not reflect upon me personally unless I give legal permission to use my full name. I commit to withdraw from making any legal claims or disputes against either the photographer or his/her agents in regards to image usage, and understand fully that the photographer is under no legal obligation to compensate me for the use of any photo(s) I have been thorough in reading this contract and understand all meanings and implications that have been explained to me in writing. By checking the box below, I agree to all the terms as described above.