Print Name *

First Name

Last Name

Address *

House / Unit #

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

TYPE OF SESSION *

Please select one

Newborn Session

Family Session

Maternity Session

Older Baby/Sitter session

Christening

Christmas Mini Session

Mothers Day Mini Session

Proposed Date

MM

DD

YYYY

Proposed Time

Hour

Minute

Second

AM PM

Name of person(1) to be photographed

First Name

Last Name

Name of person(2) to be photographed

First Name

Last Name

Name of person(3) to be photographed

First Name

Last Name

Name of person(4) to be photographed

First Name

Last Name

Name of person(5) to be photographed

First Name

Last Name

Where do you envision your portrait might hang in your home?

Behind sofa in main living room

Family Room

Foyer/Entry

Mantle

Staircase

Bedroom

AGREE WITH TERMS *

You have booked a Photography Session with Marie Berroa Photography. All images are copyrighted and Marie Berroa Photography reserves the right to use all images for display, publication, advertisement or other purposes including on Facebook and the website. By agreeing to the Terms of Agreement, you agree not to copy, save, or reproduce images in any way, without the prior permission of Marie Berroa Photography Your acceptance certifies that you have received a copy of the Price List/Packages, and the Terms of Agreement and have read, understand and agree to the policies outlined.

Yes I agree