Senior Model Form

Name *
First

Last
Phone *
Email *
Parents/Guardians name(s) *
First

Last
Parents Phone
How did you hear about us? Did anyone refer you to us? *
Birth Date *
Address *
Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeCountry
High School *
Class of *
Your Facebook URL *
Will you spread the word to friends at least once a week on your Facebook page (May through October) about Bokeh Story Photos Senior Portraits? *
YesNo
Tell us about who you are, what you are passionate about and your plans after High School
Why would you like to be on the Bokeh Story Photos Model Team? *
I have my parents permission to apply. *
YesNo
Are you willing to do the following if chosen to as a Senior Model? *
Pass out Senior Rep cards and information to your friends‘Like’ Bokeh Story Photos on Facebook‘Share’ Bokeh Story Photos Fan Page to your friends on FacebookRepresent Bokeh Story Photos
Upload Photo *Upload a recent picture of you (taken within 12 months)
Upload More Photo
I certify that my answers are true and complete to the best of my knowledge. I have reviewed this application process with my parent/legal guardian. If this application leads to acceptance to the model program, I understand that false or misleading information in my application or interview may result in my release.
Enter your name here as a digital signature: *
First

Last

Senior Model Form - Kansas City Senior Photographer /