Parent/Guardian First Name

First Name

Last Name

Child Date of Birth *

MM

DD

YYYY

Child Date of Birth

MM

DD

YYYY

Child First Name *

First Name

Last Name

Child First Name

First Name

Last Name

Parent/Guardian Phone *

(###)

###

####

Has your child done any modeling in the past? *

No, this is the first time.

Yes, my child had done some acting and or modeling.

Yes, my child does lots of acting and or modeling.

My children are interested in this photo sessions for the following reasons?

Check all that apply.

This is a great experience for my child.

This is great for my child's model/acting portfolio.

This is a great opportunity for my child to see if they is interested in modeling/acting.

This opportunity sounds like fun.

Friends with someone involved in the shoot

Othe

Has your child/children worked with us before? *

Either as a client with us or as a model?

Yes

No