Senior Model Program Application

Student Information

Student First Name

Student Last Name

Phone

Instagram:

Facebook:

Address

Address Line 1

Address Line 2

City

Country

Select

State/Province

Select

Zip Code

High School Graduation Year?

What is the name of the School you're representing?

What school activities are you involved in?

Are you a Senior Model or Ambassador for another Photography Studio?

What fun ideas do you have in mind for your senior pictures?

Parent Information

Parent/Guardian First Name

Parent/Guardian Last Name

Phone

I grant permission for RL Clark Photography to use my portraits in Advertising for the studio.

Signature

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Thank you for Submitting Your Senior Model Application!

We've received your application and we'll be in contact with you soon to discuss next steps.

Thank you for choosing RL Clark Photography.

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