Studio Picture Order Form

    Photo Pricing:
    $30 Photo Package
    $15 Single Individual Photo
    $15 Single Group Photo

    Photo Order:

    Montage Creations Mondovi, WI | 715-577-1946

    I hereby grant the releasee permission to use photographs in any of the following:

    Web-based Applications
    Social Media
    Print Advertisements

    I hereby affirm that such release to the releasee does not constitute any form of compensation,
    including royalties arising from the photographs to my benefit. I understand and agree that photographs
    in the possession of the releasee shall become the property of the releasee. The use and publication of
    the photographs, however, shall conform to my rights as a subject of said photographs.
    I hereby waive my right to inspect of approve the photographs by which my likeness appears. I hereby
    hold harmless, release, and forever discharge the Montage Creations/Winnie Palad Ross from all claims,
    demands, and causes of action which I, my heirs, representatives, executors, administrators, or any
    other persons acting on my behalf or on behalf of my estate have or may have by reason of this

    I declare true my age of consent, and in case I am under the age of such consenting age, I have obtained the required consent from my parents/guardians as evidenced by the signatures below: