Name *

First Name

Last Name

Phone *

(###)

###

####

Session Date *

If multiple days, please specify in the additional details.

MM

DD

YYYY

Start Time *

What time will the event begin?

Hour

Minute

Second

AM PM

I have read and agree to the E-Signature Agreement below: *

By submitting this form, I confirm that: 1.) I am authorized to request photography services on behalf of myself or my organization. 2.) The information I’ve provided is accurate to the best of my knowledge. 3.) I understand that typing my name below constitutes my electronic signature, which is legally binding and enforceable under the U.S. Electronic Signatures in Global and National Commerce (E-SIGN) Act and the Uniform Electronic Transactions Act (UETA). 4.) I acknowledge that this electronic signature may be used as evidence in court and carries the same legal weight as a handwritten signature.

I Agree to the statement above.

Date *

MM

DD

YYYY