Wufoo
Senior Model Application
This is my form. Please fill it out. It's awesome!
Contact Information
Student's Full Name
*
Must be at least
3
characters.
Currently Used:
0
characters.
Parent or Guardian's Full Name
*
Must be at least
3
characters.
Currently Used:
0
characters.
State
*
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
United States
United Kingdom
Australia
Canada
France
New Zealand
India
Brazil
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Afghanistan
Åland Islands
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Colombia
Comoros
Democratic Republic of the Congo
Republic of the Congo
Cook Islands
Costa Rica
Côte d'Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Faroe Islands
Fiji
Finland
Gabon
Gambia
Georgia
Germany
Ghana
Greece
Grenada
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
Nicaragua
Niger
Nigeria
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Puerto Rico
Qatar
Romania
Russia
Rwanda
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia and Montenegro
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
Spain
Sri Lanka
Sudan
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
United States Minor Outlying Islands
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Virgin Islands, British
Virgin Islands, U.S.
Yemen
Zambia
Zimbabwe
Country
Your Email
Parent's Email
Your Cell
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Parents Work/Cell
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Home Phone
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Your High School
*
If You Have a Facebook What is the URL?
Gender
*
Male
Female
Activities
Please tell us about the activities you are involved in!
Do you play a sport? Check all that apply.
*
None
Football
Baseball/Softball
Basketball
Track/Cross Country
Golf
Tennis
Wrestling
Swimming
Hockey - Field/Ice/Roller
Volleyball
Martial Arts
Gymnastics
Cheerleading
Soccer
Other
Are you involved in the Arts? Please check all that apply.
*
None
Painting
Writing
Dance
Choir
Musician
Drama
Band
Other
Please list other activities you are involved in (school related or non school related such as volunteer, Boy Scouts, 4-H, etc.)
Tell me about the types of portraits you are looking for!
The best you can, please describe your personality.
What do you think of the portraits you have seen from White Rose Photography?
What type of senior portraits would you like to have taken? (i.e. sports, outdoors, studio, formal, edgy, classic, fun, relaxed, etc...)
Any additional things you want us to know?
Favorites
Tell us what you like!
Favorite Music
Favorite Music Group
Favorite Radio Station
Favorite Color
Favorite Food
Favorite Restaurant
Favorite Place to Shop
Favorite Hobby
Favorite Book
Favorite Movie
Favorite Actor/Actress
Favorite Favorite Quote
List any other favorites - the more we know about you the better!
Do Not Fill This Out