Follow up Survey Form

Luminous 5 Photography Child Model Application
*Filling out this form does not require you to participate in the photo session. If your child is selected, you will then be contacted where you can opt out of the search.
Name Of Model

First Name Last Name
Parent's Name

First Name Last Name
Parent's Email *
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Phone Number *

Area Code Phone Number
Child's Date of Birth *

Month Day Year
Does your Child like being photographed? *

Yes No For short periods, yes
What kinds of activities does your child enjoy?
Please describe your child's personality
What time of day is your chlid most likely to be cheerful?

Early Morning Late morning Evening
Does your child mind changing clothes/ playing dress up?

Yes No
What size clothing does your child wear? *
Please list your social media contacts for Facebook, Instagram, and Snapchat
What kinds of activities does your family enjoy for entertainment?
Please upload a photo of your child here.
Signature *

Clear
Should be Empty:

Luminous 5 Photography Child Model Application