Light Within Media Photo Session Details
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Name (My name is Patrick) *
Age? *
Date of birth? *
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Email? I can be reached @ pf.jtdmedia@gmail.com *
Phone number? You can reach me at 978 206 1737 *
When would you like to shoot? Note, sessions can last 45 minutes to 3 hours.
Mornings
Afternoon
Evening
Weekday (Closed 11am-4pm Mon-Thur)
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Approximately when were you thinking of shooting?
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How meany people will be in the session? *
What style of photography interests you? Select all that apply *
Required
Where do you plan on sharing the content we create?
County, State? (I am based out of Worcester County, MA) *
Location? *
Required
Are there any specific locations you have in mind for your shoot? Please list places you like or that make you feel comfortable (Old Port, Beach, Favorite Park, even Your Backyard etc...). *
So we can better capture your unique identity, tell us more about yourself. Describe your personal style. What are your favorite Music styles or Bands? Your favorite Sports, Movies and TV shows. *
Do you have any special interests (Technology, Musical instruments, Cars, Shopping etc...). *
What are some of your favorite features about yourself? Do you have any physical attributes you want to showcase (Eyes, Hair, Tattoos etc..)? *
List 3 words to describe yourself. *
What is your favorite motivating quote? *
How many Images are you hoping to receive? They will be in your gallery after your session.
Clear selection
Do you know anyone who'd also be interested in a photo session? Will you share this link?  
Yes I can share & let them know
Maybe
No, sorry
Yes I do know someone
I have no one in mind
If you were referred by someone, let us know who so we can thank them. *
How would you like us to contact you? *
If you have an idea of the look you want, would you text your inspiration, shot list and/or wardrobe to (978) 206 1737 (Pinterest is a great tool for inspiration)
Lets talk over the phone.
Yes, I have some ideas
I have an exact vision
Not sure I have a specific vision yet
Sure
No, thanks
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