I am available and have flexibility today, March 22
Your Name
Your answer
Mobile Phone (for texting only) *
Your answer
Home Address *
Your answer
I agree to have my family picture shared on social media as part of this project. *
Required
How would you like your family's name to be listed on social media? For example: "The Smith Family" *
Your answer
My Instagram handle(s) (Optional if you would like to be tagged in the post)
Your answer
I agree to consider making a good faith donation to Food Bank of Central and Eastern North Carolina in exchange for the digital file of my family photo? (Suggested donation is $25. but any amount helps. Feel free to contribute more if you are able.)