Email Address

Preferred Contact Method

Who will be in your photo shoot? Please list ALL names, ages and gender.

Name, Age, Gender

Session Location

I hereby give Custom Vision Photography permission to use images from this and any portrait sessions for possible forms of advertisement to promote the photographer's name or business. I confirm that I have legal authority to grant these permissions for myself and the included minor children.

Please initial in the box below and type relationship to client if not self.