Name
              
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                    First Name 
                   
                
                
                  
                    Last Name 
                   
                
               
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              Phone
              
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                    (###) 
                   
                
                
                  
                    ### 
                   
                
                
                  
                    #### 
                   
                
               
            
            
        
          
          
            
            
            
            
            
              
                
            
              Email
              
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              Address
              
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                    Address 1 
                   
                
                
                  
                    Address 2 
                   
                
                
                  
                    City 
                   
                
                
                  
                    State/Province 
                   
                
                
                  
                    Zip/Postal Code 
                   
                
                
                  
                    Country 
                   
                
               
            
            
            
        
          
          
            
            
            
              
                
            
              School (Senior Clients-N/A for Other)
              
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              Pronouns
              
             
          
                
                
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
            
              
            
            
            
            
            
            
            
        
          
          
            
            
            
              
                
            
              If Other, Please Specify
              
             
          
                
                
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              Session Date
              
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                    MM 
                   
                
                
                  
                    DD 
                   
                
                
                  
                    YYYY 
                   
                
               
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              Session Time
              
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                    Hour 
                   
                
                
                  
                    Minute 
                   
                
                
                  
                    Second 
                   
                
                
                  
                    AM 
                    PM 
                   
                
               
            
            
            
            
        
          
          
            
            
            
              
                
            
              Instagram
              
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              Social Media Consent
              
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                    I consent to images of me being shared on social media 
                  
                    I DO NOT consent to images of me being shared on social media 
                  
                   
              
            
            
            
            
            
            
            
        
          
          
            
            
            
            
              
                
            
              How did you hear about Micala Austin Photography?
              
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              Sports, Hobbies, etc... (Senior Clients)
              
             
          
                
                
              
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
              
                
            
              A Little About YOU!
              
             
          
                
                
              
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
              
                
            
              Do you have any specific requests for your session? (Sentimental locations/props, bring a pet, etc...)
              
             
          
                
                
              
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              Terms
              
                *