SENIOR INFLUENCER APPLICATION | Class of 2021

Name Name First Last
Email
Student's Cell Phone Number Student's Cell Phone Number - ### - ### ####
Parent's Name(s)
Parent's Cell Phone Number Parent's Cell Phone Number - ### - ### ####
Parent's Email Address
Full Mailing Address Full Mailing Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
What high school do you attend? You must be a current junior.
What is your instagram ID?
What other forms of social media do you use actively?
Why do you want to be a senior influencer for Nealy Lanzen?
Have you applied to be a senior model for any other photographer?
How would you describe your style? What are your favorite two stores where you shop for clothes?
What activities are you involved in?
PORTRAIT AGREEMENT AND POLICIES: By choosing "I agree" you are agreeing to the following terms and conditions.

MODEL RELEASE: I hereby grant Nealy Lanzen the right to use and publish images for purpose of display, editorial work, portfolio, advertising, website, Facebook, Instagram, or publication for promotion purposes.

EXCLUSIVITY: Being a model for Nealy Lanzen means you commit to work solely with Nealy for your senior pictures. This experience is totally free, the only cost is for your professional makeup on the day of the shoots. You also agree to work with Nealy for your full senior session, and agree not to be a senior model for any other photographers.

INJURY: In case of injury before, during, or after the photoshoot, Nealy Lanzen, or the photographer, is not liable in any way.

PARENT/GUARDIAN'S PERMISSION: In order to be a senior model, you must have your parents permission. An informational meeting will be held on Sunday, April 5th from 2:30-3:30pm at Nealy's home-based studio in Rosemount, MN. *

PORTRAIT AGREEMENT AND POLICIES: By choosing "I agree" you are agreeing to the following terms and conditions.

MODEL RELEASE: I hereby grant Nealy Lanzen the right to use and publish images for purpose of display, editorial work, portfolio, advertising, website, Facebook, Instagram, or publication for promotion purposes.

EXCLUSIVITY: Being a model for Nealy Lanzen means you commit to work solely with Nealy for your senior pictures. This experience is totally free, the only cost is for your professional makeup on the day of the shoots. You also agree to work with Nealy for your full senior session, and agree not to be a senior model for any other photographers.

INJURY: In case of injury before, during, or after the photoshoot, Nealy Lanzen, or the photographer, is not liable in any way.

PARENT/GUARDIAN'S PERMISSION: In order to be a senior model, you must have your parents permission. An informational meeting will be held on Sunday, April 5th from 2:30-3:30pm at Nealy's home-based studio in Rosemount, MN. I understand
Draw your signature into the box below. *

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Mom or dad, please sign below. *

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Thank you for taking the time to fill out this form! If there is anything else you would like Nealy to know, please leave a comment here.