Living with XXY & Positive Exposure Interest Form

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Thank you for your interest in participating in this AMAZING and UNIQUE opportunity!

POSITIVE EXPOSURE is a 501(c)(3) charitable organization that promotes a more inclusive world through award-winning photography, films, exhibitions, lectures and educational programs. https://positiveexposure.org/

LIVING WITH XXY is a 501(c)(3) charitable organization that is changing the way the world views Klinefelter syndrome/47, XXY. Focusing on community, awareness, and positive traits.

Living with XXY is excited to partner with Positive Exposure to create a series of photographs of individuals/families in our community. This opportunity will give our community and others around the world to highlight the shared, and often overlooked, beauty within our own community.

The photographs/videos taken at this event will belong to the Living with XXY 501(c)(3), unless otherwise discussed. Living with XXY will use these photographs/videos to share with our community, for marketing/printed materials and to educate professionals by highlighting the difference between the negative images circulating the internet/text books and the real beauty within our community.

This form is only a statement of interest. If we receive more interest than space allowed, individuals will be selected at random. Individuals selected will be contacted by email/phone. The date of this event is October 21, 2023.

We can't wait to share our community with the world!
-Ryan Bregante

Email *

Name of Person with XXY (first and last): *

Name of person completing form (if different from above):

Phone Number: *

Age of person with XXY *

Are you able to travel to East Harlem, NYC (to the Positive Exposure studio) 10/21/23? *

Yes

Are you willing to review and sign photo consent provided by Positive Exposure? *

Yes

Are you willing to review and sign photo consent provided by Living with XXY? *

Yes

Unfortunately, the Living with XXY 501c3 does not have the ability to pay for any portion of travel/dining/hotel/etc. The photo shoot itself will not have associated costs (aside from getting to/from the studio).

Given that, are you still interested?

Yes

Would you be interested in attending an in person Living with XXY-NYC meet-up (either before or after the Positive Exposure event)? *

Yes

Yes, and I/we would like to help coordinate

Do you have any questions/concerns you'd like to discuss? *

Submit

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