Models Rep Name
High School Name
Phone Parent/Legal Guardian Name
Parents Phone What activities are you involved in at your high school or in your community?
Why would you like to be a Senior Representative for Chance Thompson Photography?
Any other information that you would like to share?
MODEL RELEASE *
PARENT/LEGAL GUARDIAN’S PERMISSION AND RIGHTS GRANTED For good and valuable Consideration herein acknowledge as agreed, and by signing this release, I hereby give the Photographer my permission to license the images and to use the images in any media for any purpose (except pornographic or defamatory) which may include, among others, advertising, promotion, marketing, and packaging for any product or service. I agree that the images may be combined with other images, text and graphics, and may be cropped, altered, or modified. : I agree that I have no rights to the images, and all the rights to the images belong to the Photographer. I acknowledge and agree that I have no further right to additional Consideration or accounting, and that I will make no further claim for any reason to Photographer. I acknowledge and agree that this release is binding. Parent warrants and represents that Parent is the legal guardian of Model, and has the full legal capacity to consent to the Shoot and to execute this release OF ALL RIGHTS IN MODEL’S IMAGES.
Notice of Copyright *
All images taken at your session will be copyrighted by Chance Thompson Photography and are protected by Federal Copyright Law. It is therefore unlawful to reproduce her work in any manner. Please respect Chance's livelihood and the care and attention paid to each of your images by adhering to copyright laws. Moreover, as an artist Chance wishes to have control over the final look of his client’s images. Scanned or reproduced images are both illegal and a degradation of the original image quality.
Benefits of Program *
As part of our senior rep program you will receive the following: • Free mini portrait session(s) with unlimited clothing changes. Several locations may be used. • 50+ personalized rep cards to give to family & friends & classmates. Your name and portrait will be included along with our business information • The opportunity to earn referral credits for every person you refer to us for senior portraits. • Facebook ready images from your session
Referral Credits *
You will earn a referral credit for every person that you refer to Chance Thompson Photography who books & pays for a session. Referral credits can be exchanged as follows: 1 referral = $25 print credit or 15 referrals = 32GB Ipad Mini. You can spend the referrals has you receive them or hold on to them for the grand prize of 15 referrals and collect the iPad mini. These referrals can include anyone who books the following sessions: Senior, Newborn, Family Portraits, Children, etc. You only receive credit for referrals earned before December 31, 2015. Your referrals must bring your rep card for you to receive credit or enter your name on the questionnaire. All referred classmates will receive a $25 print credit.
electronically signed by: (high school senior) *
By checking the "I agree" boxes above you are stating that you have read and understand the High School Senior Representative incentive program and the terms and conditions as outlined.
A valid Senior Portrait Rep Referral Card must be presented by a referred student in order to receive any credits toward prints. Credits will only be issued when a referred senior’s session is complete and all fees are paid in a timely manner by the referred senior
electronically signed by: (parent/legal guardian) *