Family & Children Questionnaire





About Your Family

Help me get to know you and your family by filling out the form below.

Your Name (required)

Your Email (required)

Your Phone*

Please list the names of the family members who are under the age of 18:

What does the family like to do together? Give at least one fact or interest for each family member.

What do want your child to remember most about their childhood?

Please list the kind of location that you prefer (urban, parks, indoors, home, etc.)*

Is there anything else I should know about your family?

The session fee covers the following:

Up to two hours of coverage on your session date for immediate family members only. Extended family members may be added at an additional cost of $25 for each person after an initial group of 4. Post-session custom image preparation with attention to each image. A digital download with the final selected images available for download. A CD can be requested for an additional $15.

The Legal Stuff

I hereby consent that the photographs taken on this day by Dustin Hill may be used by Dustin Hill on PhotoPeka.com; for the purpose of display, portfolio, advertising, competitions, or publication for self promotion. I further agree that all images provided to me can be used without additional compensation. I also declare that I have legal authority to grant these permissions and I accept all responsibilities for such. I have read the foregoing and fully understand the contents hereof. I represent that I am the parent/guardian of the above named model. For value received, I hereby consent to the foregoing on his/her behalf.

Images will be available approximately 2-3 weeks after your session and will be presented to you with a link to download. Payment of your portrait session is due in full when you place the order. Dustin Hill does, of course, guarantee that the portraits you receive meet the highest standards in every respect and wants you to be more than pleased with your images.

All images taken at your session will be copyrighted by Dustin Hill and are protected by Federal Copyright Law. It is therefore unlawful to reproduce his work in any manner. For artistic reasons, Dustin wishes to have control over the final look of his client’s images. Scanned or reproduced images are both illegal and a degradation of the original image quality.

I understand and accept the above terms and conditions

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