List their disability AND please list if they use mobility aids ( example - cerebral palsy and walker ) *
Your answer
Phone AND Email *
Your answer
What area are you from? *
Your answer
Would you like family members in photo? (answer not required)
Clear selection
Please list triggers or needs ( for example: loud noises, crowds, or needs to be seen first, can't wait in car, etc.) ***This will help us determine how to best suit your child so please be descriptive*** *
Your answer
Please note any of the conditions:
Can your child sit for pictures? Are they okay with flash photography? Are they a runner? Do they need a chance to look around the studio prior to pictures?
If none apply, please list "none."
If any apply, please explain.
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Your answer
Questions / concerns / thoughts
Your answer
Please give us a caption, or story to share if you are chosen for the shoot.
For example: “Max is 6 years old with SMA. He has always been a very silly, and loves playing with his brother. He has been featured in a local magazine before and loves being in front of the camera. This opportunity will really boost his confidence”
*
Your answer
REQUIRED: Please send picture of child / children to our nonprofit team line with immediately after filling out this form.
856-202-3955
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Your answer
Do you understand these are quick sessions? If you arrive after your session time, we may not be able to provide this service. This is a free of cost photoshoot, so we appreciate punctuality! :) *
Your answer
I agree to allow these pictures, and videos to be used for social media for wecant2wecan and image is everything studios *