Baseman Studios Photography

Baseman Studios Photography

2013 Senior Modeling Program
Please fill out this form below to apply for our 2013 senior modeling program.

You will be contacted separately if accepted. Thank you!
Date of Application:

MonthDayYearHourMinutesAM/PM Option
Full Name*

First NameLast Name
E-mail*
Phone Number*

Area CodePhone Number
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Facebook username/ID (You must be on Facebook to help promote yourself and the studio.)*
High School Name*
Parents' Name*

First NameLast Name
Parents' Name

First NameLast Name
Parents' Email*
Parents' Phone*

Area CodePhone Number
Parents' Phone

Area CodePhone Number
How did you hear about the Baseman Studios 2013 Senior Modeling program?*
Why do you think you would make a good candidate for the Baseman Studios 2013 Senior Modeling program?*
Activities? Interests?*
I understand that, if accepted, my regular senior session and order complete by June 30, 2012, or I will be billed for the session at full price.*

YesNo
I understand that, if accepted, I agree not to represent any other studio or photographer or to be shown on their websites. (excludes sports, family, or school functions)*

YesNo
I understand that, if accepted, I agree to allow Baseman Studios Photography to use the images from my session(s) for advertising.*

YesNo
By filling out this application I understand that I am NOT required to be a 2013 senior model rep for Baseman Studios Photography at this time and that I will be contacted separately if accepted into the program.*

YesNo
Should be Empty:

Baseman Studios Photography

Please fill out this form below to apply for our 2013 senior modeling program.