High School Senior Session Planning Form

High School Senior Information

First Name

Last Name

Cell Phone

Other Phone

Parent/Guardian Information

First Name

Last Name

Cell Phone

Other Phone

Address

Address Line 1

Address Line 2

City

Country

Select

State/Province

Select

Zip Code

Please list siblings of high school senior and their graduation year

Type and names of pets (Pets are an important part of your family, so we'd love to know about them even if they won't be in your portraits)

What type of locations and elements appeal to you for your outdoor session?

you may choose more than one

Flowers and Gardens (slightly more formal garden setting)
Fields and Woods (more rustic setting)
Fence lines
Water -- pond or stream
Architectural -- Urban
Architectural -- Farm
Fountain
My backyard
Other or I have a location in mind (please add details in text box below)

Location Details:

How did you hear about Kim Johnson Photography?

You may check more than one

You have created portraits for other people I know
You were recommended to me
I saw your artwork displayed at a charity or school event
I saw your artwork displayed at a local business
Facebook
Instagram
Your website and/or blog
Google search

If someone recommended us, who can we thank for the recommendation?

What products are you interested in?

You may check more than one

Wall Portraits
Painted Wall Portraits
Album
Gift Portraits for Relatives

I am interested in displaying wall portraits in the following areas:

You may check more than one

Over a couch
Over the fireplace
In a hallway
In a bedroom
In a home office
In an office away from home
At my vacation home
Above a piano
Other (Add details in text box below)

Display Details:

TO BE FILLED OUT BY HIGH SCHOOL SENIOR STUDENT

What high school do you attend?

Favorites activities (i.e. drama, sports, music, games, reading, etc.)

What are your plans after high school?

Favorite music

Favorite movie

Favorite book or author

How would you describe your style and personality?

What would describe your ideal Saturday?

What are some of your favorite things about yourself?

What do you want to remember most about this time in your life?

Is there anything specific that you would like me to know as we start planning your senior portraits? Are there types of images that you have seen in my work that appeal to you? Please include any information that can help me create your personalized artwork.

Do you have any concerns you'd like me to know about?

PARENT AND HIGH SCHOOL SENIOR STUDENT PLEASE READ MODEL RELEASE AND COPYRIGHT INFORMATION:

Model Release -- Please read and check below

I hereby give permission to Kim Johnson Photography to photography myself and/or my family members. I give permission for Kim Johnson Photography to use my photos and likeness in all forms and media for advertising, portfolio, demo, trade, stock photography, editorial, altering without restrictions, and all other lawful purposes. I understand I am entitled to no compensation. I release the photographer of all forms of claims and liability related to my photo usage. I am over 18 years of age, and I fully understand the terms of this release.

I also understand that reproducing any portrait by means of photographing or scanning (or any other form of reproduction), without written consent of Kim Johnson Photography, is considered theft and is a violation of federal copyright law and may result in legal action. I understand that Kim Johnson Photography owns the copyright to all of the images created at my portrait session. I understand that Kim Johnson Photography does not provide high resolution jpgs or any other digital format files with portrait commissioning or artwork print orders. I acknowledge that Kim Johnson Photography is not obligated under any circumstances to provide digital images.

Please read and check below

By submitting this form, you acknowledge that you have read and agreed to the model release and copyright described above, whether these boxes are checked or not.

Parent First Name

Parent Last Name

Student First Name

Student Last Name

Date

Thank you for contacting us!