Schedule a Photo Session

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Name

First Last

Email*

Cell Phone*

Address*

Street Address City State ZIP Code

MODEL RELEASE

I hereby consent that my name and the photographs taken and presented by this photographer may be used by Derksen Photography for the purpose of display, portfolio, advertising, website, Facebook, Instagram, or any publication to promote her studio or name. I also agree that the images can be used without additional compensation to the undersigned. I am of full age and have the right to contract in my own name. I have read this model release and fully understand the contents thereof.

This release shall be binding upon me and my heirs, legal representatives, and assigns.

I have the legal authority to grant these permissions and I accept all responsibility for such.

Model #1 Name & Age*

First Last

Age*

Model #2 Name

First Last

Age

Model #3 Name

First Last

Age

Model #4 Name

First Last

Age

Model #5 Name

First Last

Age

Signature*

Type of photo session*

motherhood mini

outdoor family

outdoor children

in-studio

lifestyle in-studio

at your home

high school or college grad

other

Location desired*

outdoor natural setting

beach (if possible)

#1 preferred session date & time*

#2 preferred session date & time*

Please give me a little info on who is being photographed and what type of look and location you are desiring.*

If children are being photographed... please list name, age, gender*

Which type of family photo session would you like to book?*

Single family

Extended family group

Are you interested in learning more about Derksen Photography's Vault?*

Oooh yes! Send me the details.

I'm a little curious, I'd like an email with info.

Not at this time.

The Vault is a membership that gives you access to all of your images that have ever been taken by Derksen Photography. They are organized, backed up, easily accessible for downloading on computer or phone, and all prints + wall art are 50% off.

Additional questions or comments:

How did you hear about my photography?

Thank you...

Thank you for filling out all this info. This will help me book your session quickly. I will be in touch with you via email within the next 2-3 days and we can take care of details (clothing, specific location, your desires, and more) at that time. If you need me before then, my cell is 559-312-7313. Thanks! Can't wait to see you on the other side of my camera!

Would you like to add prints onto your session for an additional $200?*

Yes please.

No thank you.

I'll decide later.

One - 11x14, One - 8x10 print, Four - 5x7 prints, 100 wallets

Name

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Next Available Sessions

I only take a limited number of sessions per month so that I can do a fabulous job and give you my very best.

Now booking Summer 2025 at the Central Coast Beaches. Get on my newsletter to receive the freshest info.

Your session fee is due at the time of booking to save your date. I will send you an invoice to pay the session fee after submitting the form on the left.