Name *

First Name

Last Name

Birthday: *

MM

DD

YYYY

Phone Number: *

(###)

###

####

Able to Receive Text Messages:

Yes

No

Yearbook Submission Deadline:

MM

DD

YYYY

What are your plans for your photos:

Wall Displays

Framed Prints

Gallery Canvas

Photo Album

Custom Graduation Announcements

Digital Files

Display Portrait Folios

I have read this entire Agreement and I understand that it is a legally binding contract. I agree to be bound by the terms of this Agreement. By filling my name below, I agree that it serves as my electronic signature. * *

yes

Client Signed *

IF UNDER 18, A PARENT OR GUARDIAN MUST SIGN

First Name

Last Name

Name

First Name

Last Name

Mailing Address:

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone Number:

(###)

###

####

How did you hear about Leslie Leavitt Photography

Return Client

Google/Search Engine

Facebook

Instagram

Twitter

Pinterest

Referral/Word of Mouth