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DISCLOSURE DECLARATION: PHOTOGRAPHY WORKSHOP INSTRUCTOR
Instructor Contact Information
Name(s) [Last, First, Initial] Website
Mailing Address Street City/Town Province
Residence TelephoneNumber
( ) -
Cellular Telephone Number
( ) -
Business Telephone Number
( ) - ext
E-mail Address
Representation Of Instructor(s) Experienceif multiple
instructors at workshop, please use one form per instructor
How Many Events Have You ShotProfessionally As A Paid,
Primary
Photographer? How Many Weddings?
Events ____ / Weddings ____
How Many Years Experience ShootingAs A Primary, Paid
Professional?
_________
What % Of Your Income IsEarned From Shooting
For Paid Clients?
______%
% Earned FromSeminars/Workshops/Educational
Products
______%
Amount You Earned Last YearShooting For Clients
$_____________
Earned In Your Highest Year
$_____________
be accurate, do not estimate
Amount Of Average Sale
Wedding $_________
Portrait $_________
be accurate, do not estimate
Has Your Website Been ReviewedOn FisheyeConnect.com?
YES or NO
Do You Represent That You WillProvide Training / Skills
That Will Increase My Income?
YES or NO
How Many Workshops or SeminarsHave You Given?
______
Have you EVER made representationsin your marketing or
communications
that were misleading or false?
YES or NO
Have You Presented At Any MajorPhotographic Convention?
YES or NO
Please List Sponsors And The CompensationYou Will Receive For
This Program
(If Tradeouts, Disclose Fair $ Amount)
Optional: Contact Information For Previous Paid Students (Not
Relatives Or Friends)not required for photographers who guarantee
privacy for clients, but preferred
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DISCLOSURE DECLARATION: PHOTOGRAPHY WORKSHOP INSTRUCTOR
Name
email address
Name
email address
Name
email address
Declaration of Instructor
I, (the undersigned instructor), have carefully checked all of
the answers above and representthat the information and answers
provided above are completely accurate and truthful.
I understand that the answers above will be a determining factor
if the undersigned studentparticipates or not.
In the event that any of the representations made above are
discovered to be misleading,untruthful, false, or inaccurate, I
promise to refund all workshop fees at any time in the future ifany
of the claims listed above are found to be misleading.
I understand that this document may be used in a civil action
against me for misrepresentationand fraud should any of my
declaration is false.
_______________________________ Date
____/_____/_____Instructor
_______________________________ Date ____/_____/_____Student
