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 NameLast Name
Parent's Name

First NameLast Name
Parent's Email
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number

Area CodePhone Number
Child's Date of Birth

MonthDayYear
Does your Child like being photographed?
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?
Does your child mind changing clothes/ playing dress up?
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
Should be Empty:

Luminous 5 Photography Child Model Application