Parents Name *

First Name

Last Name

Phone *

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Child 1's name *

First Name

Last Name

Child 2's Name

First Name

Last Name

Child 3's name

First Name

Last Name

I authorise Kheffache Studios Ltd to photograph my child(ren) at St. Nicholas School *

Yes

No

I authorise Kheffache Studios to photograph my child(ren) within a small or large group *

Yes, and I understand that the photographs may be purchased by the parents of the other child(ren) present in the photograph

No, I understand that my child will not be included in the class group portrait

I authorise Kheffache Studios to contact me, using the above email send a link to the password protected gallery by email as well as subsequent reminders. *

Yes

No and I understand that I will not get access to the gallery.

I authorise St Nicholas Montessori to use photographs of my child(ren) on: *

Displays (posters)

Publications (flyers, magazines, printed newsletters)

Website

None of the above

I authorise Kheffache Studios to use these images for portfolio or self promotional use. *

As a freelance photographer, it's really helpful for me to be able share images with other potential clients. You can withdraw this consent at any stage.

Yes

No

I would like to be added to the Kheffache studios mailing list to be notified of any special offers relating to family photography. *

Yes (but no spam please!)

No