Name *

First Name

Last Name

Phone *

(###)

###

####

What month would you prefer to do your shoot?

Please select all that apply

Any month

January

February

March

April

May

June

July

August

September

October

November

December

Date of Birth *

MM

DD

YYYY

How would you like to participate in the challenge? *

Please check all that apply.

I want to be photographed!

I want to help with makeup or body paint

I want to help with wardrobe or styling

I want to help with hair styling

I want to help with props

Other

I understand that I must either live in, or be willing to travel to, the Atlanta, GA area in order to do the photo shoot. *

Please select.

I agree

I do not agree

Are you willing and able to sign a model release so that I may use and share the images as I see fit? *

Yes

No

Have you been vaccinated against COVID-19? *

Please check all that apply.

One dose of the vaccine

Two doses of the vaccine

Boostered

Unvaccinated

Medical Exemption

Level of Comfort

Some shoots will involve nudity or implied nudity. Please indicate how comfortable you are with nudity. (18+ only for shoots involving nudity)

Very Comfortable

Not at all comfortable

Fine with implied nudity

Not sure

Other

I understand that this is a non-paid photo shoot for both the photographer and the subject. *

Please check one.

I agree

I do not agree