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TEC Photography

2009 Senior Modeling Team Application

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Name: ____________________________________________________________________ D. o. B. _____/_____/______

Address: _________________________________________________________________________Apt# ____________

City: _________________________________________________________________  State: ________ Zip: __________

Telephone : (_________) ________________________ E-Mail: ___________________________________________

Extra Curricular activities (include offices held, clubs, sports and organizations not associated with school) ____________________________________________________________________________

____________________________________________________________________________

Plans after graduation : __________________________________________________________

Your parents name : ____________________________________________________________

Parent's Address ( if different) : ____________________________________________________

If selected for this program, I am willing to grant permission to TEC Photography to use the 

portraits they create of me in any way they chose in their studio advertising: Yes ___      No ___

I am not now and agree to not become a representative or model for any other photographic studio:  

Yes ___    No _____  My school's contract photographer is: __________________________

My recommendation for a Model for the class of 2008 is: ____________________________

Address: ____________________________________________________________________  Apt# ____________

City: _____________________________________________________  State: ________ Zip: __________________

Telephone : (_________) _________________________ E-Mail: __________________________________________

I , _____________________________________________________ , confirm that I will be a 

senior at  ___________________________   High School and will graduate in the class of  2009. I understand that this program is geared to help TEC Photography. If selected as a TEC Photography Senior Model, I agree not to represent any other studio for the duration of my modeling team year, and that photographs created by TEC Photography will be used in studio advertising at their sole discretion. I also realize that there is no obligation to purchase photographs.

___________________________________________ Date :______________  

Applicant Signature

___________________________________________ Date _______________

Parent Signature

Mail the completed application and snapshot to: 

Senior Model, TEC Photography, 1011 W. Gourley Pike, Bloomington, IN 47404-2132

1/01/2008