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China
Christmas Island
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Colombia
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Congo, The Democratic Republic of the
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Croatia
Cuba
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Iraq
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Korea, Republic of
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Liberia
Libya
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Tell us a little about your family -- How do you spend your time ? Hobbies, occupation, style of family, other information that will help us get to know your family better.
First Child First Name
First Child Last Name
Relationship
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Son
Daughter
Other -- include relationship in information box below
First Child Birthday
Any other information to help us connect with your child -- hobbies, personality traits (shy, outgoing, etc.), anything special we should know:
Second Child First Name
Second Child Last Name
Relationship
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Select
Son
Daughter
Other -- include relationship in information box below
Second Child Birthday
Any other information to help us connect with your child -- hobbies, personality traits (shy, outgoing, etc.), anything special we should know:
Third Child First Name
Third Child Last Name
Relationship
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Select
Son
Daughter
Other -- include relationship in information box below
Third Child Birthday
Any other information to help us connect with your child -- hobbies, personality traits (shy, outgoing, etc.), anything special we should know:
Fourth Child First Name
Fourth Child Last Name
Relationship
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Select
Son
Daughter
Other -- include relationship in information box below
Fourth Child Birthday
Any other information to help us connect with your child -- hobbies, personality traits (shy, outgoing, etc.), anything special we should know:
Fifth Child First Name
Fifth Child Last Name
Relationship
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Select
Son
Daughter
Other -- include relationship in information box below
Fifth Child Birthday
Any other information to help us connect with your child -- hobbies, personality traits (shy, outgoing, etc.), anything special we should know:
If you have more than five children or extended family in the session, please list names, relationships, and ages here (birthdays for children preferred)
What products are you interested in?
You may check more than one
Wall Portraits
Painted Wall Portraits
Album
Gift Portraits for Relatives
I am interested in displaying wall portraits in the following areas:
You may check more than one
Over a couch
Over the fireplace
In a hallway
In my bedroom
In my child's bedroom
Wall beside stairs
In a home office
In an office away from home
At my vacation home
Above a piano
Other (Add details in text box below)
Display Details:
What type of locations and elements appeal to you for your outdoor session
you may choose more than one
Flowers and Gardens (slightly more formal garden setting)
Fields and Woods (more rustic setting)
Fence lines
Water -- pond or stream
Architectural -- Urban
Architectural -- Farm
Fountain
My backyard
Other or I have a location in mind (please add details in text box below)
Location Details:
Model Release -- Please read and check below
I hereby give permission to Kim Johnson Photography to photography myself and/or my family members. I give permission for Kim Johnson Photography to use my photos and likeness in all forms and media for advertising, portfolio, demo, trade, stock photography, editorial, altering without restrictions, and all other lawful purposes. I understand I am entitled to no compensation. I release the photographer of all forms of claims and liability related to my photo usage. I am over 18 years of age, and I fully understand the terms of this release.
Copyright -- Please read and check below
I also understand that reproducing any portrait by means of photographing or scanning (or any other form of reproduction), without written consent of Kim Johnson Photography, is considered theft and is a violation of federal copyright law and may result in legal action. I understand that Kim Johnson Photography owns the copyright to all of the images created at my portrait session. I understand that Kim Johnson Photography does not provide high resolution jpgs or any other digital format files with portrait commissioning or artwork print orders. I acknowledge that Kim Johnson Photography is not obligated under any circumstances to provide digital images.
Email Communication
I give permission to Kim Johnson Photography to send me emails. Kim Johnson Photography will not sell your information, and you are welcome to opt out at any time.
Please provide any details or clarifications that you would like Kim Johnson Photography to know about here:
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