ArtCafe Photography's "Inside-Out" Project

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If you are interested in participating, please fill out the form below. We can only accept a certain number of participants, and a spot can not be guaranteed. If you are selected, we will call you to tell you more about this project and answer any questions you might have. If you don't feel comfortable participating after we have answered your questions, you have the option to opt out.

First and Last Name *

Email Address *

Phone Number *

What is your story? *

Anxiety / Depression / Suicide

Severe feeling of loneliness

Child loss / Infertilty

PTSD (military vet, etc.)

Human rights / Gay rights

Abuse

Invisible illness / Addiction

Racism

Homelessness (had it all - lost it all or the other way around)

Other:

If "Other" was selected, please specify. *

Why is it important to you to participate in this project? *

Are you aware that this is a photography/art project that will tell your story? *

Yes

Are you aware that your story will be shared with others? (We will only use your first name. Your last name, email, and phone number will not be shared.) *

Yes

Are you willing to commit to several meetings, including a photography session, at our Ashburn studio? *

Yes

Do you have any questions or concerns?

Submit

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