Westport Pride prOUT! Photo Campaign
Sign in to Google to save your progress. Learn more
Email *
Name (first last) *
Phone *
How do you and/or your family members identify? *
What makes you out and proud? What makes you shine? Why do you want to participate in this project? *
Preferred contact time for a brief intro call *
Possible Shoot Date 1 *
MM
/
DD
/
YYYY
Possible Shoot Date 2 *
MM
/
DD
/
YYYY
Possible Shoot Date 3 *
MM
/
DD
/
YYYY
I agree without prior written consent to release any photographs or quotes herein to be used by Jerri Graham Photography and/or Westport Pride for public or private use without compensation. *
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy