Hello ladies (and gentlemen) please grab a snack and take a few moments to fill out the form below! I will be reviewing all applications over the next few weeks! The Samantha Lee Senior Rep program will be a little different this year (in a good way!), so please hold tight for more information! I will be following up with more program and pricing information very very soon. As of now, our welcome/information party is set to take place on August 5th 2016, once again at Style Hair and Makeup's ADORABLE studio space in Tampa, Florida. 

Check out some images from last years bash! (back when I was known as Dahlberg Photography)

 

I just want to say THANK YOU so much for your interest in representing me and your interest in becoming a #SamanthaLeeSenior, your support means the world to me. I would be blessed to have any/all of you on my team. Unfortunately, due to the exclusive nature of this program I am only able to accept 1-2 girls per high school in the Tampa Bay area. I can't wait to hear from you all, and to get to know you throughout your senior year!!! 

Name *
Name
Phone *
Phone
Birthday *
Birthday
Parent Name *
Parent Name
Parent Phone *
Parent Phone
Address *
Address
How often do you post on Social Media? *
Do you enjoy being in front of the camera? *
T-shirt size (adult)
The Senior rep team will hopefully be getting custom t-shirts this year! Yay!
Models *
Signed by: *
Signed by:
Signed on: *
Signed on:
Parent Signature: *
Parent Signature:
Parental Consent: If child is under 18 years of age, a parent must be present to authorize participation in the program. Official sign-ups for the program will take place at the welcome/information party on August 5th, 2016 at 4864 West Gandy Blvd. Tampa, Florida 33611. I understand that if my child is under 18, I must attend the party with him/her to sign a model release form (registration will remain open for one week after the date of the party. If you cannot attend we can make other arrangements to meet privately)
Signed on: *
Signed on:

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