We strive to make your Senior Photos as unique as you our. Help us get to know you better so that we can create a Senior Portrait experience that best reflects you personality. Please answer the following questions and return them to our studio as soon as early as possible before your Senior Session:
Senior’s Name ______________________________________________________________________
Address/City/State/Zip_____________________________________________________________
Home Phone _____________________________Cell Phone ______________________________
High School ______________________________________
E-mail ____________________________
Parents’ Names ______________________________________________________________________
What are your interests/hobbies? _______________________________________________________
________________________________________________________________________________
What extracurricular activities do you participate in: _____________________________________________________________________________________________________________
What is/are your favorite color(s)? ______________________________________________________
Which do you prefer (circle one): Soft, muted colors? Bright, bold colors? Neutral, earthy colors?
Which best describes you (circle one): Laid-back and conservative? Progressive and on-the-edge
If I could choose any location for my senior pictures, I'd pick somewhere:
___Swinging Bridge
___Harbor/Beach
___Urban - like a grungy alley way
___Park - a nature setting is ideal
___Trendy & Upscale all the way
___Rural - a farm setting with a barn
___Historic buildings
___Sports related
___My home
___Other (specify)_____________________________________________
I'd like to include the following in my senior pictures: 
___Guitar/instrument
___Sports equipment/uniform
___My car/truck
___Family member
___Pet
___Pointe shoes/ballet attire
___Friend or Girlfriend/Boyfriend
___Other (specify)_____________________________________________
Wallet Personalization: Y N Name: _____________________________ Year 2012 or ‘12
By signing below, you (or your parent) agree to allow Fuller Photography to create your Senior
Portraits and acknowledge that the copyright for all photographs remains with Fuller Photography and
that this agreement does not constitute a work-for-hire arrangement. You also authorize Fuller
Photography to use your Senior Portraits in advertising, promotion, display and competition.
Signature: _______________________________________________ Date: ___________________
Parent or Guardian (if under 18): ___________________________________________________
Fuller Photography
118 Ward St.
Croswell, MI 48422
810-679-3034 http://www.fullerphotographyonline.com/
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