Newborn Session Client Information and Agreement

Client Information & Deposit Form
Your Full Name*

First NameLast Name
E-mail*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Mobile Number*
Type of photo session*
Name and Address of Birth Hospital*
For In-Hospital Sessions ONLY
Baby/Child Name

First NameLast Name
Gender of your baby *

GirlBoyA surprise!Multiple
Will any Siblings be joining the session?(only applies to Newborn & Maternity Sessions)*

YesNo
Age of Siblings (if applicable)
Any Cultural/Religious backgrounds or beliefs you wish to inform us of?
Pertains to cultural sensitivities you may have such as attire.
Any Allergies your photographer should know about?
Any physical disabilities you wish your photographer to know about?
Current due date provided by your health care professional OR birth date of your child*

DayMonthYear
Comments or questions
Retainer Fee
A $100 non-refundable retainer fee is now due to secure your booking.(This will be subtracted from the outstanding balance)
Bank Deposit

Deposit $100.00 AUD Acc: Zanelle Walter BSB: 112879 Acc #: 410444229(please use your full name as reference)
OR
PAYPAL or CREDIT CARD
prevnext( X )
Deposit$100.00AUD
Should be Empty:

Client Information & Deposit Form