Professional Head Shot

Name*

First Last

Preferred Pronouns

she/her/hers or he/him/his or they/them/theirs or?

Who would you like to be photographed with?*

How would you like to be photographed? Select all that apply.*

Glamorous. Bring on the floor-length gown and the diamonds.
Classic. More on the dressy side, but not black-tie formal.
Professional. I'd like to be able to use my images for work.
Casual. I want to look like "me." Friendly and Approachable.
Sexy. I'm thinking about wearing a daring dress, even lingerie, or even some nudes.
Other. I have something else in mind.

Where would you like to be photographed?*

In Christina's downtown Loveland studio. No distractions. Just us, styling, and fun.
Somewhere else in Fort Collins / Loveland. I have a place in mind.
A dream destination. I have a beautiful spot I love. I'm thrilled to pay for travel to bring Christina and her team there.

Why do you want to be photographed?

Your Age*

Your Email address:*

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Phone

Best time to call?

Where are you? City & State (and Country if you're outside the US)

I want to keep in touch! Send me inspiring and empowering emails!

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Jennifer Boland, Co-Founder at 360 Wellness Solutions, Inc.