ENPS Graduation Print Order Form

Emily Black Photography - ENPS Graduation Order Form

Please complete the form to pre-order your selection for the 2019 ENPS Grade 6 Graduation Photography Packages, which will be photographed prior to the graduation dinner on the 16th of December in the ENPS Gymnasium.
Parent/Carers Name *

First Name Last Name
ENPS Students Name *

First Name Last Name
Class

6 CU 6 EG 6 JK 6 CS
E-mail *
Phone Number

Area Code Phone Number

Postal Address *

Street Address
Street Address Line 2
City	State
Zip Code	Country

Please select Package option from below

make your package selection below, add any additional prints, and when you submit your form you will be directed to PayPal to complete your payment.

Brave Pack - ONE only 8x10 student portrait print or ONE only 8x10 family portrait print $ 25.00 AUD

Quantity

Bold Pack - ONE only 8x10 student portrait print and 2 5x7 duplicate prints $ 35.00 AUD

Quantity

Connected Pack - ONE 8x10 student portrait print and ONE 8x10 family portrait print. $ 45.00 AUD

Quantity

Exceed Pack - ONE student portrait 8x10 print ONE family portrait 8x10 print and ONE 5x7 duplicate of each PLUS High Res. Digital Download of each image. $ 65.00 AUD

Quantity

extra print - 6x4 (only in addition to packages) $ 5.00 AUD

Quantity

extra print - 5x7 (only in addition to packages) $ 10.00 AUD

Quantity

extra print - 8x10 (only in addition to packages) $ 15.00 AUD

Quantity

late order surcharge $ 10.00 AUD

POSTAGE $ 8.95 AUD

Enter coupon

Total $ 0.00 AUD

PORTRAIT AGREEMENT & MODEL RELEASE: I have read and agree to the following statement: I commission Emily Black Photography, the photographer, to photograph myself and/or my underage children. I hereby grant Emily Black Photography and her legal representatives and assigns, the irrevocable and unrestricted right to use and publish photographs of myself, family, and/or child(ren), or in which myself, family, and/or children will be included for editorial, trade, advertising, and any other purpose and in any manner or medium; to alter the same without restriction; and to copyright the same. I hereby release Emily Black Photography and her legal representatives and assigns from all claims and liability relating to said photographs. *

I Agree I do not Agree (please do not use any images of myself or my family in the above mentioned manner.)
COPYRIGHT: As a client of Emily Black Photography, I acknowledge and understand that the images taken by Emily Black Photography, are protected by Federal Copyright Laws. I understand it is ILLEGAL to copy or reproduce these photographs elsewhere without the PHOTOGRAPHER's permission, and violaters of this Federal Law will be subject to its civil and criminal penalties. A limited PRINT RELEASE is supplied with the purchase of my session digital files to print your portraits for your own personal use. The print release does not allow publication of your portraits (i.e. entering in contests), selling or altering your images without the PHOTOGRAPHER's permission. Reproduction includes, but is not limited to scanning, downloading, right-clicking, emailing, saving to harddrive, posting on websites or blogs, photocopying, obtaining screen shots, or printing in any manner. I agree to honor the copyright laws as stated in this agreement. *

I Agree
By signing below you certify that you are at least 18 years of age have read and understandd the above information. You agree to be and/or on behalf of your underage children to be photographed by Emily Black Photography. You agree that you have the legal authority to grant these permissions and accept all responsibility for such. *

I agree
Signature *

Clear
Please arrive on time for your portrait sessions as failure to turn up will result in forfeiting your package payment.
Should be Empty:

Emily Black Photography - ENPS Graduation Order Form

Please select Package option from below