Name
*
First Name
Last Name
Address
*
City, State
*
Zip code
*
Phone
*
(###)
###
####
Email
*
Due Date
*
MM
DD
YYYY
Significant Others Name
*
NAME and AGE of each child. Also, please tell me a little about each kiddo. Example: favorite food, toy, character, personality traits etc. What makes them laugh?
*
Tell me about your family, what do you like to do together for fun?
What type of session are you interested in?
*
How did you hear about EC Bean Photography?
*
Covid-19 Waiver
*
I knowingly and willingly consent to have EC Bean Photography photograph myself and included members of my family during the global COVID-19 pandemic. I understand the COVID-19 virus has a long incubation period during which carriers of the virus may not show signs and symptoms and still be highly contagious. It is impossible to determine who has it and who does not with the current limits in virus testing.
By agreeing, I confirm that myself and members of my household have not in the past 14 days had any of the following symptoms of COVID-19 listed below:
-Fever greater than 100.4 degrees Fahrenheit
-Cough
-Shortness of Breath
-Flu like symptoms including GI upset, fatigue, body aches, or muscle pain
-Chills or repeated shaking with chills
-SoreThroat
-Headache
-Sudden loss of taste or smell
I further confirm that no one in my household has been exposed to a person under investigation for COVID-19, or a person diagnosed with COVID-19, in 14 days prior to any photography session.
I understand that certain travel may increases risk of contracting and transmitting the COVID-19 virus. In addition, the CDC recommends quarantine of 14 days. Therefore, I verify that I, nor anyone in my household, have not traveled outside the United States in the past 14-days to countries that have been affected by COVID-19.
I will hold harmless and indemnify, EC Bean Photography, and employees against any claims, and actions, in exchange for services with EC Bean Photography during this Covid-19 pandemic. Please be advised that there may be risks with being in the proximity of other people. We are taking precautions to limit the spread of the disease, and following Massachusetts Reopening: Mandatory Safety Standards for Workplaces, yet there is still possibility for transmission. I make this decision for my family of my own free will relying upon my knowledge and judgement of any injury they may have sustained or possible illness, including the transmission of COVID-19, through a photography session, and my decision to release has not been affected by any false statements or representations pertaining to those injuries or illnesses. I understand that this action is my decision. PLEASE reschedule your session if you, or any member of your household, are experiencing any of the signs and symptoms of COVID-19, as outlined above. This COVID-19 screening and consent will cover the day of your photo session. By attending your session, you are consenting to this form, and stating you and any and all members of the home are not exhibiting any of the signs and symptoms of COVID-19, as outlined above, and any and all members of the home have not been exposed to a person under investigation for COVID-19, or a person diagnosed with COVID-19 in the lsat 14 days.
Payment Agreement
*
I am aware that pricing is all inclusive. Retainer of $100 is due when booking and the remaining balance is due the day before your session. Remaining balance varies depending on session type.
All inclusive model
*
I am aware that I will receive a minimum of 30 high resolution digital images delivered via online gallery. I am aware that EC Bean Photography will select the best images to be edited and once the gallery is delivered no extra images will be added.
Lifestyle type
*
I have reviewed the photographers online portfolio and I am aware of her artistic style of lifestyle photography and understand no poses or groupings are guaranteed.
Session Agreement
*
I understand there will be no reshoots or additional sessions. This session fee is for one session only. (If booking newborn/maternity package a petite maternity session is included.)
Model Release
*
I hereby grant EC BEAN PHOTOGRAPHY and those acting under her permission or authority, in connection with any and all photographs EC BEAN PHOTOGRAPHY will take, the irrevocable right and permission to copyright, publish, use and reuse such photographs in any and all media now known or hereafter devised, worldwide, in perpetuity, for advertising, promotion, trade, exhibition, distribution, or any other lawful purpose whatsoever. I understand that I am entitled to no compensation. I release the photographer all forms of claims and liability related to my photo usage.
I hereby acknowledge and represent that I am over the age of eighteen years and that I have read and understand this release.
I hereby acknowledge and represent that I am the parent or duly authorized representative of any/all minor subject(s) and that I have read and understand this release.
Notice of COPYRIGHT:
It is ILLEGAL to copy or reproduce these photographs elsewhere without photographer’s permission, and violators of this Federal Law will be subject to its civil and criminal penalties. All images are copyright EC BEAN PHOTOGRAPHY.
