Student Showcase Portraits 2017

Please note: Only ONE dancer per form. Fill out this form for each dancer you wish to have photographed.

Each dancer will have an online gallery of approximately 4-6 retouched images to choose from available for viewing in approximately 2 weeks.

Limited time slots are available.

$0

Total
Dancer's Name Dancer's Name * First Last
What level is your dancer? *

What level is your dancer? Creative Movement 1 Creative Movement 2 Pre-Ballet Ballet 1A Boy's Basics
Parent's Name Parent's Name * First Last
Parent's Name Parent's Name First Last
Address Address *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Main Phone Main Phone * - ### - ### ####
Additional Phone Additional Phone - ### - ### ####
Can you receive iMessages or text messages on your main phone #?

Can you receive iMessages or text messages on your main phone #? iMessage Text Message Neither

Sometimes this is a more reliable way to communicate. If I am unable to connect with you via email, I will try via text message, if possible.
Email *
Additional Email
Package Options

You must choose at least ONE of the packages below. Add On items may be purchased IN ADDITION to any package. You will choose your image(s) once the gallery is available for viewing in approximately 2-3 weeks. You may also choose to purchase additional items when your gallery is ready.
Choose a Package
Each Package is ONE Image *

Choose a Package
Each Package is ONE Image Package A: (1) 8x10, (2) 5x7, 8 wallets - $35 Package B: (4) 5x7, 8 wallets - $35 Package C: (1) 8x10, (2) 5x7, (4) 4x5 - $35 Digital A: ONE Digital Image in Color via Download - $35 Digital B: THREE Dancer's Digital Images in Color via Download - $50 Digital C: ALL Dancer's Digital Images in Color via Download - $75 THE EVERYTHING PACKAGE: ALL Dancer's Digital Images on USB Flashdrive + ONE Print Package A, B, or C (choose below) + Custom Collage 6x9 Mounted Keepsake Print (shown at top of page) + BONUS PHONE ALBUM* - $95

Digital packages include a print release.
Choose your print package for THE EVERYTHING PACKAGE:

Choose your print package for THE EVERYTHING PACKAGE: Package A: (1) 8x10, (2) 5x7, 8 wallets Package B: (4) 5x7, 8 wallets Package C: (1) 8x10, (2) 5x7, (4) 4x5
Add On Items

Add On Items (1) 8x10 - $15 (2) 5x7 - $15 (1) 5x7 - $10 8 wallets - $15 4 wallets - $10 (4) 4x5 - $15 (2) 4x5 - $10 (1) 11x14 - $25 (1) 16x20 - $45 (1) 3.5x5" Photo Magnet - $10 (2) Wallet Size Photo Magnets - $12 Upgrade Digital Files to USB Flashdrive - $10
Would you like to be added to our e-list to receive our newsletter with specials and promotions?

Would you like to be added to our e-list to receive our newsletter with specials and promotions? Yes! No thanks.
Model Release *

Model Release I give permission to Crystelle Marie Photography to use the images (or variations of the images) from this session for publication in advertising materials, websites, blogs, portfolios, displays, or any other promotional methods for Crystelle Marie Photography without compensation. I further waive any and all rights to review or approve any use of the images, and written copy or finished product. I am of full legal age or am the legal guardian for the above-named participant and have read and fully understand the terms of this release. I am the parent or legal guardian of the above mentioned minor and have the legal right and authority to execute the above release on behalf of the minor. Please do not use images from this session in marketing materials.

I love to use images from last year's Showcase when sending out information for the current Showcase. If you consent to the Model Release, I may use your dancer's images next year.
You're almost done! Please have your payment ready. Once you click SUBMIT, you will be re-directed to our secure payment center to complete your purchase. Do not hit the back button and only click SUBMIT once. *

You're almost done! Please have your payment ready. Once you click SUBMIT, you will be re-directed to our secure payment center to complete your purchase. Do not hit the back button and only click SUBMIT once. I understand that by clicking SUBMIT below I acknowledge that all information is correct. I understand that this product will take 1-2 weeks for delivery AFTER final sections are made in gallery, and that due to the custom nature of this product, all sales are final. I further acknowledge that if I delay in selecting my image(s) within the specified time period, my product delivery will also be delayed.
Name in PayPal or on card used for payment. Name in PayPal or on card used for payment. * First Last
This is very helpful when confirming payments, especially if the dancer has a different last name.
Draw your signature into the box below.

Draw or Type

I understand this is a legal representation of my signature. Clear

Full Name

I understand this is a legal representation of my signature.
$0

Total

Student Showcase Portraits 2017

Student Showcase Portraits 2017

$`0`

Total

Package Options

$`0`

Total

Student Showcase Portraits 2017

Student Showcase Portraits 2017

$0

Total

Package Options

$0

Total

$`0`

$`0`