APPLY FOR OUR SENIOR REP PROGRAM HERE

Name *
Name
Phone *
Phone
Birthdate
Birthdate
Gender
Guardian's Phone Number *
Guardian's Phone Number
I understand and agree, if chosen, I am to represent Lenae Photography only for the 2016-2017 school year.
I understand and agree that as a senior rep i will be required to send a minimum of three referrals before march of 2017
I understand and agree that drugs and alcohol consumption is not tolerated and can exclude me from the program
I understand and agree that the Makenzie Photography senior rep program was created to encourage and uplift others and not to promote an environment of competion