Model Release & Questionnaire Model Release and Questionnaire Name*FirstLastAddressStreet AddressAddress Line 2CityState / Province / RegionZip / Postal CodeAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFijiFinlandFranceGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorwayNorthern Mariana IslandsOmanPakistanPalauPalestinePanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbia and MontenegroSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabweCountryPhoneEmail*Referred bySo now for the juicy details! Don't be shy!What do you love about your body?What prompted you to want to book a boudoir session?What do other people like about your body? (husband, boyfriend, friends, etc...don't be shy :)What is it about your personality that you love?What is your fantasy shoot?What are some of your favorite things? (certain places to shop, items, hobbies...anything :)What do you see as the final result of our session and time together?Boudoir Packages*Luxe $700Lav $525Flirty $425Boudoir Party $350 per person (3-8 people)Maternity Boudoir $300LuxeMod Photography understands the importance of your personal privacy, and wants to be certain that we have permission to use or not use images with the expressly given consent of the client. All measures will be taken to protect the confidentiality of the professional images taken. The privacy policy of LuxeMod Photography is set forth below. When you are photographed by LuxeMod Photography, certain measures will be taken to keep your photos private. Images will be placed on a professional password protected website for you to view. If you decide to decline to share your images on the LuxeMod Photography website or other marketing, please be assured your images will be kept private.Section 1: Description of images for use...please initial ONE only:*I trust you to only use tasteful imagesshare all images share images with no facedo not share any imagesSection 2: Images may be used for..check ALL that apply:*blogwebsitesample albumssample displaymarketing materialsmedia featuresSection 3:*By checking this box you do hereby give LuxeMod Photography, and his/her assigns, licenses and legal representatives the irrevocable right to use my images as stated in section 1 and 2.Section 4:*I am 18 years or older. I have read this release and am fully familiar with its contents.I agree*Please check here as your electronic signature in agreement to information above.Package DescriptionsLuxe Up to 2-1/2 hours, unlimited outfits Multiple poses Custom CD folio with 1 highlight image on the cover + CD containing 35 high resolution retouched/enhanced images from your online gallery + print release 1 set of 4×6 prints of all images on your CD + custom image presentation box 15% VIP discount pricing on a la carte printsLav Up to 1-1/2 hours, 3-4 outfits Multiple poses Custom CD folio with 1 highlight image on the cover + CD containing 20 high resolution retouched/enhanced images from your online gallery + print release 15% VIP discount pricing on a la carte printsFlirty Up to 1 hour 15 minutes, 2-3 outfits Multiple poses 4×6 “little black book” – handmade album containing 10 retouched/enhanced images from your galleryBoudoir Party 3-person minimum, 8-person maximum Up to 35 minutes per person, 1-2 outfits per person Multiple poses Approximately 8 fully retouched/enhanced images Each person receives a custom CD folio with 1 highlight image from their session + CD containing all images in online gallery Music, refreshments, and snacks provided!Maternity Boudoir Package includes 1 hour session Custom CD Folio containing high-resolution retouched/enhanced images from your gallery {approx. 15-20 images} Print release for personal useLuxeMod PoliciesIf you want to cancel your boudoir photo shoot your retainer deposit is non-refundable. You must give 24 hours notice for rescheduling a photo shoot to apply the retainer to another date and time. If you give notice less then 24 hours in advance, cancel the same day, or do not reschedule to another date your retainer deposit will be forfeit. You can only reschedule your session one time. If you are more then 30 minutes late for your session it is considered a cancellation, retainer is forfeit, and the session can be rescheduled with a new retainer deposit. If you are running late please call and let me know that you will be late and your expected time of arrival. Your session will end at the scheduled time so being late will cut into your session time. This is a women only adult environment. Children, babies, and pets are not allowed in the studio. I may have multiple appointments throughout the day. Please do not arrive too early because I may not be available and the studio may not be ready. If you have a very bad sun burn or bad spray tan, then it is best to reschedule your session. no comments link to this post email a friend Your email is never published or shared. Required fields are marked * Name * Email * Website There was an error submitting your comment. Please try again. Comment
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