Mother's Name:

First Name

Last Name

Father's Name:

First Name

Last Name

Home Address:

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Cell Phone Number:

(###)

###

####

Parent's Email:

Child's Name:

First Name

Last Name

Child's Birthday:

YYYY

What theme/colors would you like to incorporate into your session?

Do you plan to bring balloons?

Do you plan to bring a birthday banner? If so, please describe:

Will you be bringing any props to incorporate in some of the photos? If so, please describe:

How many outfits would you like to have your child pictured in? Please describe:

Do you plan to have a cake smash as part of your session? If so, please describe the theme:

Is there something you have seen in our work before that you would like replicated?

Additional Comments:

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