formerly Susan Brewer Photography - photographing newborns, children and families in the Greenville, SC area

Please fill out this form to assist us in personalizing your Studio Two Eleven experience.

Also, please sign the Model Release Statement for advertising purposes at the bottom of the form either with your name or "NO". Thank you!

Name

First Name

Last Name

Email Address

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

Participants Names and Birthdates if Children Involved

Preferred Location

What types of products are you most interested in?

Wall Galleries

Art Canvases

Framed Prints

Albums

What are you hoping to get out of this session?

Do you have any examples you would like Susan to see before your session? Please include links below.

I hereby irrevocably authorize Studio Two Eleven to use photographs of me and or my property and authorize her and her assignees, licensees, legal representatives and transferees to use and publish (with or without my name, company name, or with a fictitious name) photographs, pictures, portraits or images herein described in any and all forms and media and in all manners including composite images or distorted representations, and the purposes of publicity, illustration, commercial art, advertising, publishing (including publishing in electronic form on CDs or internet websites), for any product or services, or other lawful uses as may be determined by the photographer or Studio Two Eleven. I further waive any and all rights to review or approve any uses of the images, any written copy or finished product. I am of full legal age and have read and fully understand the terms of this release.

Occasionally Studio Two Eleven uses photographs for advertising or social media. We will always be discreet with your personal information. Please read above and sign below for these purposes.