Child's Name *

First Name

Last Name

Payment by BASC

Name: Kate York Sort: 40.47.59 Account: 98857334 Ref: Please use your child full name.

I will make payment

I would love to use some of the images taken to promote my work. *

Any images used will never be stored or displayed with the child's name or setting.

I DO give permission for Kate York to use the images of my child

I DO NOT give permission for Kate York to use images of my child