Sessions Models Jax

Sessions Modeling Studio

12627 San Jose Blvd.
Suite #401
Jacksonville, FL 32223

Tel: (904) 292-4366
Fax: (904) 292-3943
Click here to e-mail
(#TA0000138)

Enrollment Agreement

Name:

Address:

City:

State:

Zip:

Home Phone:

Work Phone:

E-mail:

Age:

Date Of Birth:

Select a Session

Adult/Teen Female / Part 1	6 Sessions	Jan. 10th	$225
Adult/Teen Female / Part 1	6 Sessions	Jan. 13th	$225
Adult/Teen Female / Male / Part 2	7 Sessions	Jan. 10th	$225
Adult/Teen Female / Male / Part 2	7 Sessions	Jan. 15th	$225
Adult/Teen Female / Male / Part 3	8 Sessions	Jan. 10th	$230
Adult/Teen Female / Male / Part 3	8 Sessions	Jan. 15th	$230

Child/Preeteen / Part 1	6 Sessions	Jan. 10th	$225
Child/Preeteen / Part 1	6 Sessions	Jan. 13th	$225
Child/Preeteen / Part 2	7 Sessions	Jan. 10th	$225
Child/Preeteen/ Part 2	7 Sessions	Jan. 15th	$225
Child/Preeteen/ Part 3	8 Sessions	Jan. 10th	$230
Child/Preeteen/ Part 3	8 Sessions	Jan. 15th	$230

Tots/Part 1	6 Sessions	Jan. 10th	$199
Tots/Part 1	6 Sessions	Jan. 13th	$199

Holiday Camp 2008 ()
	Adult/Teen Female / Part 1	4 Days	Dec. 27th, Dec. 29th - Dec. 31st	$225
	Adult/Teen Female / Male / Part 2	4 Days	Dec. 27th, Dec. 29th - Dec. 31st	$225
	Adult/Teen Female / Male / Part 3	4 Days	Dec. 27th, Dec. 29th - Dec. 31st	$230
	Child/Preeteen / Part 1	4 Days	Dec. 27th, Dec. 29th - Dec. 31st	$225
	Child/Preeteen / Part 2	4 Days	Dec. 27th, Dec. 29th - Dec. 31st	$225
	Child/Preeteen/ Part 3	4 Days	Dec. 27th, Dec. 29th - Dec. 31st	$230

Select Payment Type

Card #:

Expiration Date:

Name as it
appears on
card.

Electronic Signature

I, Authorize Sessions Modeling Studio to charge my credit card for the Selected Modeling Sessions.I have read and understand the Studio Refund Policy,

(Check box to accept)

Name:
Date :