High School Seniors, Portrait Profile Form. If you are under 17 years of age, you need to have your parents permission to submit this form. Never send personal information about yourself over the internet to someone you do not know. I will provide references and any information that you request. My name, address, email, and phone numbers are listed throughout this web site. Have your parents contact me with any questions.

Please fill out this form as completely as possible. It will help me know you better and be able to provide you with a more personal Senior Portrait Package. I love photography and taking photographs and I want you to have Senior Portraits that you are excited about and will cherish forever. -Dave Marks

*Indicates required field.


*Student's Full Name:
*Mother's Full Name:
*Father's Full Name:
*Address:
*City:
*State:
*Zip Code:
*Home Phone Number:
*Parent's Cell Number:
*Student's Cell Number:
*Parent's Email:
*Student's Email:
*High School:
*Height:
*Gender:
Can we contact you via Text Message?


Can we contact you via Facebook?


What kind of grades do you make?


Do you play sports? If so, check all that apply: