Valentine Portrait Intake FormComplete this form in order to ensure that your child is photographed on picture day. Please complete a separate form for each child and be sure to include information about each sibling on each form. Select Daycare * Childrens World Little Successful Angels Daycare The Carter Academy RCMA Volusia RCMA Seville God's Little Blessings Guardian Name * First Name Last Name Guardian Email * Guardian Phone * (###) ### #### Teacher Name * First Name Last Name Student Name * First Name Last Name Student Age * Select Background for Individual Pose * Love Roses Backdrop Sibling(s) Name and Age * If you have more than one child being photographed and would like for them to take portraits together. Provide name and age and select a background option. (Please submit a separate form per each child's individual portrait.) Write N/A if not applicable. Select the background that all siblings will be photographed on together * If you have more than one child being photographed and would like for them to take portraits together. Provide name and age and select a background option. (Please submit a separate form per each child's individual portrait.) Select N/A if not applicable. Love Roses Backdrop N/A Additional Information Please include any additional information to ensure this is the best session for your child. Thank you! Love Roses Backdrop