Name of Parent/ Gaurdian *
Name of Parent/ Gaurdian
Name of Senior *
Name of Senior
Phone Number of Parent/Gaurdian *
Phone Number of Parent/Gaurdian
Please give your first, second, and third choice of time. Shoots are scheduled in 15 minute increments between 4 p.m. and 7 p.m.

After you fill out this form, an invoice will be sent to you within 24 hours. Spots will not be confirmed until payment is processed. If you have any questions or concerns about payment, please call me at 970-978-8315 or email me at chelseaellingsonphotography@yahoo.com. Thank you!