Wedding Day Emergency Contact & Medical Disclosure Form

Creating Lasting Memories Through Beautiful Photography.

Day-of emergency contacts for both partners plus disclosure of medical conditions, allergies, mobility or accessibility needs, and photosensitivity that could affect coverage or flash use.

BTL-PBL-17.028

Form

Vol 17 — Wedding Photography Division & Intake Packet

Couple

Partner 1 full name *

Partner 2 full name *

Wedding date *

Day-Of Emergency Contacts

Emergency contact 1 — name *

Relationship *

Phone *

Emergency contact 2 — name

Relationship

Phone

On-site decision maker if couple is unavailable

Medical Disclosure

Medical conditions that could affect the session or coverage— Disclosed voluntarily so the photography team can respond appropriately; kept confidential per BTL-PBL-17.007.

Photosensitivity / epilepsy — flash limitations required *— Yes · No

Allergies (including food, latex, florals)

Mobility or accessibility needs

Medications on site / EpiPen or inhaler location

Preferred hospital or urgent care

Additional instructions for the photography team

Acknowledgement

Information is accurate and may be shared with on-site emergency responders *

Yes / N/A

Client signature *

Date *

Prepared by

Name · Title · Date

Reviewed by

Name · Title · Date

Approved by

Owner · Katheryn L. Wilkins · Date

Controlled document — BTL-PBL-17.028. Complete all required fields (marked *). Retain per Volume 15 retention schedule.