Please read through this form and fill out accordingly.

Images will be published to an online gallery. Prints and Digital images can be purchased via the website.

Please Be warned Flashing lights may be used. If this has a medical or mental triggering effect please Notify the photographer before your session.

By signing this form, I acknowledge the terms and conditions of PrismPix Photography.

*Pictures and personal data will be stored for 12 Months Only.*

Name

First Name

Last Name

Name of parent / Legal Guardian

First Name

Last Name

Email

Signature

Please sign or echo sign if possible.

I give permission to prismPix photography to take / Publish and Digitally store pictures of my child / Young Adult.

I give permission

I Do Not give permission