Holiday Mini-Session Sign Up  150/5

Contact Information:

PHOTO RELEASE FORM
For all names listed above, permission is granted to Jacqueline Mihaley Photography to use the names, likeness, image, voice and/or appearance such may be embodied in any pictures, photos, video recordings, audiotapes, digital images, and the like, taken or made on behalf of Jacqueline Mihaley Photography's activities. I agree that Jacqueline Mihaley Photography has complete ownership of such pictures, etc., including the entire copyright, and may use them for any purpose consistent with Jacqueline Mihaley Photography's missions.  These uses include, but are not limited to illustrations, bulletins, exhibitions, videotapes, reprints, reproductions, publications, advertisements, and any promotional or educational materials in any medium now known or later developed, including the Internet. I acknowledge that I will not receive any compensation, etc for the use of such pictures, etc, and hereby release Jacqueline Mihaley Photography and its agents and assigns from any and all claims which arise out of or are in any way connected with such use.

I have read and understood this consent and release. 

I give my consent to Jacqueline Mihaley Photography to use the names and likenesses listed above to promote Jacqueline Mihaley Photography, and/or their activities by my signature below:

This package is $150 for 5 high resolution digital images. Please fill in below and submit payment to secure your spot.
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$150.00
TOTAL
$150.00

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Thank you for contacting us!

We are so excited you will be joining us for a Holiday Mini-Session! We will contact you shortly with all the details.

Warm regards,

Jacqueline Mihaley Photography

631-672-6027

www.jacquelinemihaleyphotography.com