Name of Subject *

The name of the person I'm going to be photographing

First Name

Last Name

Your Name *

First Name

Last Name

Date of Shoot *

When are we shooting?

MM

DD

YYYY

Consent *

I grant consent for the named subject to be photographed by Graham Binns on the date specified.

Use of Images

Let me know if you're happy for me to use the images in my online portfolio and advertisements (it's okay to leave this blank!)

I grant consent for images created during the shoot being used in the portfolios displayed on this website, and to advertise the services of Graham Binns Ltd.

Chaperone *

I ask that subjects under 18 be accompanied by a responsible adult. Who will be accompanying the subject on the day?

I will accompany the subject

Someone else will accompany the subject

Name of Chaperone (if not you)

First Name

Last Name