Client Intake Form

Thank you for your interest in modeling with TopEndShoots and Science of Life Photography. Please complete the form below and submit for consideration. There are no right or wrong answers. The questions below are to help us match you up to the projects that you would be most interested in and best suited for.

School Attending

Name

First Name

Last Name

Email

Age

Phone

(###)

###

####

Can This Number Can Receive Text Messages?

Yes

No

Please tell me a little about yourself (animals, music that you like, favorite show, etc)

Do you have access to a variety of outfits, sports uniforms, costumes, or other apparel? (Include details)

If under 18, list parent/guardian First Name, Last Name, Phone Number, and Email here:

By submitting this application, you grant full release to TopEndShoots LLC and Science of Life Photography to use your photos, images, and/or likeness, from assignments paid or unpaid, in promotions, advertisements, marketing or any other studio related use, including, but not limited to, print competition and studio samples.

Yes

No

Digital Signature for above release (type full name)

Minors must include digital signature of parent/guardian