Student's Name (required)

E-mail (required)

Phone Number (required)

Date Of Form (required)

City (required)

Your High School? (required)

What year are you graduating? (required)

Your Social Media Links

Instagram ID - optional

Facebook ID - optional

List of all School Activities, Sports, Clubs and Memberships - optional

Favorite Movie(s)? - optional

Favorite Songs and/or Artists ? - optional

Why would you be good candidate for the Melanie Robertson Photography Senior Model Program ? - optional

If accepted into the program, I agree not to represent or be photographed by any other Studio or Photographer or to be shown on their Websites ( Excludes Sports, Family or School functions)*

If accepted into the program, I agree to allow Melanie Robertson Photography to use the images from my session(s) for advertising.*

By filling out this application I understand that I am NOT required to be a Senior Model Rep for Melanie Robertson Photography at this time and that I will be contacted by Melanie Robertson Photography if accepted and for more info on the Senior Model Rep Program.*

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