Blooming Babies 2019
March 31
Baby Name *
This should match the hospital records
Your answer
Bed Number
Your answer
Parent Name *
Your answer
Email Address *
This is where we will send your photo gallery
Your answer
Phone Number *
Your answer
Hospital *
Please be sure to choose correct Hospital.
Time Slot Requested (times may vary) *
It is required that a family member is with your baby at the time of their session. Will a family member be with your baby? *
Please type name below if you give permission for the Capturing Hopes affiliated photographer to photograph your child and any family members present during the session each time that I set up a scheduled session with one of their Hope Photographers.
Sign below by typing your name.
Your answer
Please type name below if you give Capturing Hopes Photography Inc. permission to use your child's photos and/or photos of family members and friends who were present during the session(s) for promotional and training purposes, including in the areas of social media, website, news stories, blogs, and promotional materials both in print and online with the purpose of promoting prematurity awareness worldwide.
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Your answer
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