Name * First Name Last Name I am a Female Male Other / Prefer not to say Phone Number * (###) ### #### Email Address * Highschool * Mailing Address Address 1 Address 2 City State/Province Zip/Postal Code Country Instagram Account @ Briefly describe yourself, your style, and/or how you want your senior shoot to represent who you are: Any major props you would like to include in your shoot? Ex. pet, vehicle, instrument, etc. In addition to you, if there is anyone else you would like to receive a link to your gallery as soon as it is ready, include their email(s) here: Limit 3. You will be able to share the gallery at your leisure once it is sent to you. Model Release (If under 18, must be completed by a parent or legal guardian) * By checking "I agree", you understand and agree that all photographs taken by Alyx Gardner, Photographer are and will remain the property of Alyx Gardner. Client herby waives any claim of ownership, financial compensation, and right to further edit, retouch, or render images in any way. Alyx Gardner will have the irrevocable right to use the photographs at her discretion, (for, but not limited to: promotional posters, business cards, and advertisement on web pages and social networks, including but not limited to, Facebook, Instagram, and twitter.) Client will not receive compensation of any kind for the images used. I Agree I do not Agree Age: If model is under 18 years of age, the remainder of this form MUST be completed. Under 18 18 or older Parent/Legal Guardian Name First Name Last Name Relationship to Model: Parent/Legal Guardian Phone Number (###) ### #### Parent/Legal Guardian Email Address Thank you!