by Dom Chiera Photography 330-677-3296 dchiera@neo.rr.com
What Do You Get?
2 FREE Photography Sessions. One will be indoors which will cover traditional and a variety of backgrounds. The second one will be outdoors at a local park or city scape.
$20 credit for each friend who has their senior photographs made by Dom Chiera Photography.
Your image on referral hand out cards.
Free Facebook images – Your own Facebook album and video!
BONUS! Upon completion of photography sessions of 4 referrls – A book of your senior images suitable for autographs & comments will be yours free!
Senior photographs you’ll be proud of and excited to show your friends & family
You’ll also save your friends money, too, with the special offer on your referral card!
Fill out the modle application below and press submit!
Must be in the Class of 2015!
Senior Model Program For the Class of 2015
Student Information:
Name*
First
Last
Address*
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Country
Home Phone Number*
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Cell Phone
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What year do you graduate High School?*
Name of High School*
Extra Curricular Activities (Sports,Organizations or Clubs)
Will you grant permission for Dom Chiera Photography to use your
portraits in advertising?*
Email*
Confirm*
Parent Information:
Name*
First
Last
Address*
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Country
Home Phone*
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Cell Phone
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Email*
Confirm*
You must have parental permission to participate in our Senior Model Program. Only a limited number of spots are open per school. Thank you for your application!