Student's Name *

E-mail *

Phone Number *

Date Of Form *

City *

Your High School? *

Year You Graduated ? *

Your Social Media Links *

Instagram ID *

Facebook ID *

List of all School Activities, Sports, Clubs and Memberships *

Favorite Movie(s)? *

Favorite Songs and/or Artists ? *

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

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.*