Lanphier Portrait Order Form
Student/Athletes Information
First Name
*
Last Name
*
Age of Athlete
*
School/Club Information
What Club/School are you with?
*
What Sport are you with?
Please Select
Volleyball
Boys Basketball
Girls Basketball
Cheerleading
Poms
Football
Track & Field
Cross Country
Wrestling
Baseball
Softball
Parent/Legal Guardians Information
Parent/Legal Guardian's Name
*
First Name
Last Name
Parent/Legal Guardian's Email
*
example@example.com
Parent/Legal Guardian's Phone #
*
(###) ###-####
Packages
If you select a fire package a waiver will be emailed to you and must be signed before the scheduled session
Athlete Packages (Team Photos and Memory Mate are an added option for those with teams present)
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Standard Individual Package 1
1 Pose, 1 Team photo, 1 Banner Image
$
30.00
Standard Individual Package 2
2 Poses, Team image, 1 Banner Image
$
40.00
Quantity
1
2
3
4
5
6
7
8
9
10
Fire Package 1
1 Fire Pose, 1 Standard Pose with smoke, Team Image
$
50.00
Quantity
1
2
3
4
5
6
7
8
9
10
Fire Package 2
2 Fire Poses, 1 Standard Pose with Smoke, Team Image
$
60.00
Quantity
1
2
3
4
5
6
7
8
9
10
Additional Standard Pose
This is an Add on to a package for 1 Additional Pose
$
15.00
Quantity
1
2
3
4
5
6
7
8
9
10
Additional Fire Pose
This is an Add on to the package for 1 Additional Fire Pose
$
20.00
Quantity
1
2
3
4
5
6
7
8
9
10
Action Package
2 Action Poses, 2 Fire Poses, 1 Standard Pose, Team Images
$
100.00
Quantity
1
2
3
4
5
6
7
8
9
10
Payment Methods
Credit Card
Google Pay
After submitting the form, you will be redirected to Google Pay to complete the payment.
Cash App Pay
After submitting the form, you will be redirected to Cash App Pay to complete the payment.
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