Name *

First Name

Last Name

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Cell *

(###)

###

####

Date of Birth *

MM

DD

YYYY

Parent/Guardian's Cell *

(###)

###

####

How would you rate your comfort level in front of a camera: *

A Ham, if a camera's out, I'm in front of it!

Very Comfortable, doesn't matter if my hair's a mess

I'm Average, only when I am looking good/cute ;)

Low, I tend to get behind others or out of the picture when possible

A PARENT AND MYSELF WILL BE ABLE TO ATTEND THE MANDATORY MEETING on a WEEKEND late January *

Yes, we can't wait!

Sadly, we can't attend at that date/time

I HAVE PERMISSION FROM MY PARENTS TO APPLY TO BE A KDP SPOKESMODEL AND THEY UNDERSTAND THAT THERE IS A MINIMUM COST OF $600 TO BE A PART OF THIS PROGRAM. *

YES

NO

I understand that my application is not complete until my introduction video is sent and confirmed *

Yes

No

Terms and Conditions *

Senior SpokesModels will promote only Kustom Dezigns Photography from contract signing through the end of their senior year. Signing of a contract, upon being chosen, will require both the SpokesModel and legal guardian. Any breach of contract will result in termination of SpokesModel's contract and team status. All images remain the property of Kustom Dezigns Photography such as (but not limited to) Facebook, Instagram, private party messaging, brochures, business cards and the like. Virtual signing of this questionnaire implies knowledge and consent to above stated terms and conditions.

Yes, I agree to the above terms & conditions

No, I do not agree to the above terms & conditions (by choosing this option your application will not be considered).