INTEREST AS

PHOTO SUBJECT oR MODEL

If you are interested in appearing in photos taken by Indiana Mosaic, let us know!

Complete the form below and we’ll be in touch.

Interested In:

Being a Model or Subject in a Portrait Session or Candid Photography by Indiana Mosaic Myself Only Myself and Family

Please upload a photograph of anyone you are wanting to include as a potential subject.

Name

Names of Other Individuals

Phone

Which Best Describes Your Location

I live in Delaware County, Indiana I live in east-central Indiana I live elsewhere

Availability

Weekday Mornings Weekday Afternoons Weekday Evenings Weekend Mornings Weekend Afternoons Weekend Evenings

Notes

Agreement and Understanding

I understand that this form is simply meant to imply possible interest and has no legal binding nature or guarantees from either party. I take responsibility for the photo I am uploading as being legally mine and is appropriate to be viewed by all ages. The photo I am uploading is to be used for internal purposes by Indiana Mosaic and is not to be sold or shared publicly.

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