Senior Name * First Name Last Name Subject * Email * Prefer Texting or Calling * Parents Phone * (###) ### #### Phone * (###) ### #### Senior Date * MM DD YYYY If you were referred by someone, who do I have to thank? What video chat do you prefer? * This may be needed for consultation if we cannot meet in person. FaceTime Zoom Skype Google Chat Duo Other Please provide senior user name. Tell us a little about yourself? * What do you hope to get out of your experience with Cultivating Images? * What is the feeling or emotion you want to portray (fun, playful, serious)? * What is your personality type? i.e shy, calm, outgoing, etc... * List any Extra Curricular Activities What are your interest and hobbies? Will you have props at all? If so, please list below? i.e. Letterman Jacket, Awards, etc... * Is there anything you want to make absolutely sure we capture during your sessions? * What are your favorite colors? What style of session? * Please complete below if other is checked. Nature Urban/Downtown Country/Rustic High School/Sports Area College/Sports Area Other Complete if other was selected. Are you uncomfortable with any parts of your body that may be present in the photos? i.e. birthmarks, moles, etc... What style of images are you looking for? Do you have any ideas for specific images? (please be detailed as possible) Do you or your parents have any questions? Please, ask away! Preferred session consultation date * Can only do after 5:00pm if preferred during the week. MM DD YYYY Preferred time for session consultation * Hour Minute Second AM PM Thank you!