First Name A value is required. Last Name A value is required. Birth date A value is required.Invalid format.

High School A value is required. Graduation Year A value is required.

Your cell phone # A value is required.Invalid format. Yes, I can receive texts. No, I cannot receive texts.
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Your home phone # A value is required.Invalid format. Your Email Address A value is required.Invalid format.

Your Mailing Address
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Social Media is a big part of Ayers Photography and Design Senior Model Program. It is the best way to get your images across to all of your friends, and for you to stay connected with Ayers Photography and Design .
* Please give us links to your social media sites (Facebook, Twitter, Instagram, Pinterest, etc).

A value is required.

Please let me know a little about you and your personal interests.
* Personal style, music interests, what you do for fun.
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Are you involved in Clubs, Activities or Community Service?
* Please list all clubs and activities you are involved in: Community Service, School clubs, Church groups, YoungLife etc.
A value is required.

Are you involved in any Sports?
* Please list all athletic programs you are involved in, in school and outside of school.
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Why do you want to be a spokes model for Ayers Photography and Design?
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Tell us why we should choose YOU to be in the Ayers Photography and Design model program.
* Don't worry, we will give you all the tools as well as many ideas, but to help us with our choice of picking models,
we would love to hear your ideas and what you see yourself doing.
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How did you hear about Ayers Photography and Design?
* Please list how you heard about us? Past client or Model, website, google search, friend, social network.
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Name of Legal Guardian A value is required. Legal Guardian's Phone # A value is required.Invalid format.

Legal Guardian's Email Address A value is required.Invalid format.
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Please list the Name, email, phone# address of at least 3 juniors. Please list people who do not already have a photographer chosen. This will show us that you have a serious interest in sending referrals our way. This is a good start to begin earning your referrals and points.

1st Friends Name A value is required. 1st Friends Phone Number A value is required.Invalid format.

A value is required.Invalid format. 1st Friends Email Address A value is required.

1st Friends Address

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2nd Friends Name A value is required. 2nd Friends Phone Number A value is required.Invalid format.

2nd Friends Email Address A value is required.

2nd Friends Address
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3rd Friends Name A value is required. 3rd Friends Phone Number A value is required.Invalid format.

3rd Friends Email Address A value is required.

3rd Friends Address

More friends? Let us know! Just fill in their information below.

I certify that I am a full time student in the Class of 2014 or Class of 2015 and my answers above are true and complete to the best of my knowledge. By submitting this form, I allow Ayers Photography and Design to contact me via Phone, Email, Mail, Social Media, for follow up, and to keep me updated regarding specials and events.. Please make a selection.

Please Submit your form now.