Apply for Class of 2026 Senior Rep Program

Deadline to register is March 18th at 11:59. This is for any Class of 2026 High School Senior in the Birmingham Area. If you have any questions between now and then, please text me at 205-540-3774

Full Name *

Email address *

Phone Number *

Instagram Handle *

Tik Tok *

Are you a high school 2026 graduate? *

What High School are you graduating from? *

What activities do you do in school or outside of school? *

How would you describe yourself in 3 words? How would your friends describe you in 3 words? *

Any other fun facts? *

Why do you want to be a Benzaia Photo Senior Rep *

How did you hear about the Benzaia Photo Senior Rep Program? If a specific person, please put their name here (referral credit). *

Please type your full name in the box below after reading the paragraph below. *

By typing my full name above and submitting my application I understand that if I am chosen by Benzaia Photo as a senior rep, I am committing to participiate in group events, post on social media, and shoot exclusively with Benzaia Photo during my senior year. In addition, if chosen I agree to pay the $200 retainer required to hold my spot. Referral credits can be earned.