DISCLOSURE DECLARATION: PHOTOGRAPHY WORKSHOP INSTRUCTOR Instructor Contact Information

Name(s) [Last, First, Initial] Website

Mailing Address

Street

City/Town

Province

Postal Code

Residence Telephone Number

Cellular Telephone Number Business Telephone Number E-mail Address

ext

Representation Of Instructor(s) Experience

if multiple instructors at workshop, please use one form per instructor
How Many Events Have You Shot Professionally As A Paid, Primary Photographer? How Many Weddings? Events ____ / Weddings ____ How Many Years Experience Shooting As A Primary, Paid Professional? _________

What % Of Your Income Is Earned From Shooting For Paid Clients? ______%

Amount You Earned Last Year Shooting For Clients $_____________ Earned In Your Highest Year

% Earned From Seminars/Workshops/Educational Products ______%

$_____________

be accurate, do not estimate

Amount Of Average Sale Wedding $_________ Portrait $_________

be accurate, do not estimate

Has Your Website Been Reviewed On FisheyeConnect.com?

Do You Represent That You Will Provide Training / Skills That Will Increase My Income?

YES or NO

YES or NO

How Many Workshops or Seminars Have You Given? ______ Have you EVER made representations in your marketing or communications that were misleading or false?

Have You Presented At Any Major Photographic Convention?

Please List Sponsors And The Compensation You Will Receive For This Program (If Tradeouts, Disclose Fair $ Amount)

YES or NO

YES or NO

Optional: Contact Information For Previous Paid Students (Not Relatives Or Friends)
not required for photographers who guarantee privacy for clients, but preferred

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 represent that 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 student participates 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 if any 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 misrepresentation and fraud should any of my declaration is false.

_______________________________ Date ____/_____/_____ Instructor _______________________________ Date ____/_____/_____ Student