Copy and Paste the TEXT  into an email or word processor.

Performance Photo Order and Release Form 

Carl Sermon Photography for Events and Festivals

Reel Sound and Light Productions

15651 Camino Del Cerro, Los Gatos, CA 95032-3721
Tel (408) 356-9473

Your photo(s) may appear at the official Event website for this performance. I hereby give the photographer, his legal representatives and/or those assigned, those for whom the photographer is acting, and those acting with his permission, or his employees, the right and permission to copyright and/or use, reuse and/or broadcast and republish photographs of me, or in which I may be distorted in character, or form, in conjunction with my own or fictitious name (AKA also known as), on reproductions thereof in color, or black and white made through any media by the photographer at his studio or elsewhere, for any purpose whatsoever, including the use of any printed matter or publication at a website in conjunction herewith.

____________________________________            ________________________
Signature                                                                     Date
*Your signature and contact information below on this photo release is not a commitment to purchase photos.

(Please print clearly)

Dance Name __________________________________________________________

Name of Troupe _______________________________________________________

Name _______________________________________________________________

Mailing Address_______________________________________________________

City/State/Zipcode _____________________________________________________

(In case the photographer has questions)

Telephone_____________________________ Email ________________________________________

Your Performance Photo CD Order includes 10 to 20 (or more) high resolution photo, a personalized CD label, the photographer photo usage authorization release signed by the photographer, mailed to you within four weeks. You may reproduce, print, or upload photos to websites with photo credit (Photo by Carl Sermon). Website link to is appreciated for photos published at websites. Photos are available only to the individual(s) photographed and are not available for sale to others. Photos taken are stored, retained and on file with Carl Sermon, RSL Productions.

I wish to order my performance (or troupe performance) photos on Photo CD from:

Event / Performance day/ time ________________________________________________________

Description of costuming and color _____________________________________________________

Photo CD price only $40.

 Includes photographer photo release, and tax, shipping and handling. Return this signed order form and check payable to: RSL Productions, 15651 Camino Del Cerro, Los Gatos, CA 95032

VISA/MC #_________-________-__________-________ Expiration Date: ________ 3 digit code on back of card: ________