Senior Portrait Information Form

* Required fields marked with Asterisk <BR><BR>

First Name: *

Last Name: *

E-Mail Address: *

Phone number (including area code) *

Mailing address (complete including zip code) *

Name of parent or guardian authorizing this session if student under 18 *

Will this parent or guardian be able to sign our standard model release to allow us to use your photographs to promote our Photography business? *

Yes
No

Who is the person filling out this form? *

I am the student being photographed
I am the mother of the student being photographed
I am the father of the student being photographed
I am the guardian of the student being photographed
Other

If you selected "Other" please enter name and relationship below.

What best describes your feelings about being photographed for your Senior Portrait? *

It is a VERY important part of my Senior year!
I am looking forward to it
It is just another thing I need to do for my senior year
I hate having my portrait taken

What year will you graduate? *

2012 2013 2014 2015

What School will you be graduating from? *

Are you Male or Female? *

Male Female

What are your school colors?

What School Sports do you participate in? (Check any that apply)

Football
Basketball
Track
Cross Country
Field Hockey
Softball
Baseball
Ice Hockey
Volleyball
Tennis
Swimming
Soccer
Gymnastics
Cheerleading
Swimming
Lacross
None
Other

If you play any other sports please list them here.

What are some of your other interests and activities both in school and outside of School? (Check any that apply)

Art
Photography
Computers
Video games
Music
Drama
Poetry
Reading
Writing
Playing music
Listening to music
FFA
Horses
Farm Life
4 Wheelers and Motorcycles
Bicycling
Snow Board
Skatboard
Ski
Fishing
Hunting
Kayaking
Watching TV
Movies
Gardening
Church Group
Charity work
Other

If you would like to add any additional interests not listed, please enter them below.

How would your best friend describe you? (Check any that apply)

Cool
Smart
Strong
Moody
Total Jock
Computer Nerd
Talented
Creative
Intense
Mellow
Preppy
High Maintainence
Down to Earth
Great Shopper
Nice
Hard Worker
Lazy
Crazy
Complicated
Other

If you selected "Other" please describe below.

What qualities would you like to come through in your portrait? (Check any that apply)

Confident
Pretty
Handsome
Smart
Tough
Artisitic
Powerfull
Humble
Outdoorsy
Spiritual
Dangerous
Rock Star
Sports Jock
Other

If you selected "Other" or please enter those qualities here.

How many different outfits would you like to be Photographed in?

Just one
2
3
4 or more
I am not sure yet.

What kind of Portrait session are you interested in? *

Studio only
Outdoors only
Both Studio and Outdoors

What kinds of Backgroud do you like? (Check any that apply)

Dark colors
Light colors
Wild colors
Patterns
Outside Natural

Is there any physical qualities about yourself that you do not like? We ask this so we can take special attention to minimize these features in your portrait (Check any that apply)

Weight
Too tall
Too short
Nose
Chin
Acne
Complexion
Eyes
Hair
Other

If other please describe below

Do you wear glasses? *

Yes
No

When would you like to schedule your portrait session appointment?

Next available appointment
Within a month
Within 6 months
Longer than 6 months

When is the deadline submission for sending your yearbook photo to your school yearbook staff? *

How is your senior portrait being sent to your school yearbook staff?

The yearbook staff said I need to give them a print
The yearbook staff said my Photographer should send them a digital file
I don't know

How did you hear about Ed Sharp Photography? *

Word of mouth
Search Engine
Online ad
Print ad
You gave me your business card
Another Photographer referred you
A happy Ed Sharp Photography client referred you
Other

If other please enter details below. If someone referred us please include their name here also *

Are you on Facebook?

Yes
No I don't do the social media thing
Not yet but will be soon

Are you a fan of (do you "Like") Ed Sharp Photography on Facebook (http://www.facebook.com/edsharpphotography)? *

Yes
No
Not yet bet will "Like" you next time I log on

What are some of the photography products you are interested from this session? (Check any that apply)

Wallet Portraits
Gift Prints
Wall Prints
Petite Display Books
Delux Wallet Portrait Cases
SharpShow on DVD
SharpShow on the web
Facebook photos
Other

Who will be paying for your Senior Portrait? *

My Mother
My Father
My Guardian
I am paying for it myself
My Parent/s and I will both be paying some
Other

Do you have any additional ideas about your portrait session that you would like to share?Would you like to include a Pet or a prop (Like a skateboard, guitar,football helmet etc)?

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