Ambassador Application

Complete the following questionnaire for interest in the 2013 Geoff Bernstein Photography Ambassador Program. 

NOTE: Under NO circumstance will ANY of the information in this questionnaire be sold/given to any businesses/personnel outside of Geoff Bernstein Photography.

Personal Information
Complete the following section with your information
Name *
Address *
Phone *
We are currently accepting applications for 2014 graduation seniors. Are you scheduled to graduate in June 2014? *
Parent/Guardian Information
Due to most juniors/seniors being under the age of 18, parent/guardian consent is required.
Parent/Guardian Name *
Parent/Guardian Name
Parent/Guardian Phone Number *
Parent/Guardian Phone Number
Do you have your parent's/guardian's permission to participate in MMP's Ambassador Program? *
Is your parent/guardian aware that they will need to sign a Model Release for you to be able to participate in the ambassador program? *
Additional Information About You
Please answer all questions
Some fun facts about you.
A few last details.
The fine print.
This is not the contract, this is to show that you understand what would be required if picked as a GBP ambassador. (If your parents have any questions or concerns, please have them call me at 267-424-5644 and I'd be happy to answer any questions. They can also visit to see my work.)
As an ambassador for Geoff Bernstein Photography you will be expected to share your pictures from your session (copyright info may not be cropped out) on Facebook and to hand out your rep cards (provided and paid for by GBP) to all of your friends and acquaintances throughout the school year. Do you agree to this? *
Facebook Senior Page
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