Behind the Shutter LLC Senior Model Rep Application
Student Name
First Name
Last Name
Student Email
example@example.com
Student Phone Number
-
Area Code
Phone Number
Parent Name
First Name
Last Name
Parent Email
example@example.com
Parent Phone Number
-
Area Code
Phone Number
Are you over 18?
Yes
No, but I have parental consent to participate.
Have you AND your parent looked over ALL of the senior rep information?
NO
YES
What is your Facebook URL?
What is your instagram URL?
Do you have your own transportation?
Yes
No
Which High School do you attend?
Bendle
Brandon
Davison
Grand Blanc
Fenton
Goodrich
Holly
Lake Fenton
(Other)
Do you play any sports, musical instruments, involved in clubs or extracurricular activities? Tell me about it!
Graduation Year
Describe your perfect senior shoot (location, colors, outfit, season, etc.)
How did you hear about Behind the Shutter LLC?
Do you have any questions for me?
Terms and Conditions - Senior representatives will promote only Behind the Shutter LLC. Signing of a contract will require both parties and legal guardian if representative is under 18. Any breach of contract will result in termination of model status. Number of shoots and edits will be determined as the year goes on. All edits and photos remain property of Behind the Shutter LLC to be used for advertisement purposes such as (but not limited to) Facebook, Instagram, private party messaging, business cards and brochures. All senior model reps are required o choose a package and sign a contract at the time they are accepted onto the team. Virtual signing of this questionnaire implies knowledge and consent to above stated terms and conditions. Do you agree to the above terms and conditions? *
Yes
No (By choosing 'no', your form will not be submitted to apply for the model position)
Please submit a picture of yourself.
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