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Zip Code

Senior Phone

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High School

Select your high school below.

• East Rock
• Page
• Luray
• Broadway
• Spotswood
• Stuarts Draft
• Staunton
• Other (Enter Below)

Other School:

What year are your graduating?

Tell us about yourself. Hobbies? Sports? Anything!

Which social media platforms are you on? Fill in all that apply.

Snapchat Username:

Facebook Username:

Instagram Username:

Twitter Username:

Which social media are your most active on? How many followers/subscribers?

I understand I am applying for the Senior Influencer Program, I am willing to grand David Foltz Photography permission to use my portrait in advertising.

• YES

I agree I will not represent or be photographed by another portrait studio or photography business if I participate in this program.

• YES

The Senior Influencer Program is designed for rising seniors to promote helpfulness and improve communication within the school throughout the Shenandoah Valley. You will be a representative of David Foltz Photography.

I am interested in being a representative for David Foltz Photography. If I participate, I will not accept a position from another studio. I understand that David Foltz Photography may use my portraits for, but not limited to; advertising, displays and promotional materials. I understand that there are several obligations such as deadlines and group photo sessions that must be met as a representative, and I will perform these duties to the best of my ability.

Any violations of this agreement will result in lost of all credits earned from this program.

I understand and agree to the above policies.

• YES

Signature

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