Uniquely You Photography Session Application
Thank you for your interest in booking a Uniquely You Session! I have wanted to offer this to the community for a long time, and I'm so excited to get started!

Please note that chosen applicants will be contacted via email. Please add charlene@vanveitcreative.com to your address book, so my email will land in your inbox. Selected applicants will have 48 hours to respond and book their session time before another applicant is chosen. Chosen applicants will have 3 dates to choose from and must be available on one of those days to be eligible for the session.

Applicants will be chosen based on when they applied and if they meet all of the required criteria.

CRITERIA:

- A formally diagnosed developmental need that impacts your child's physical, learning, language, or behaviour development. Diagnosis must be from a qualified professional.

- Must be willing to answer a short questionnaire with background on your child's diagnosis so that I have information to provide community awareness. 

- Sign a model release to share the photos on my social media, website etc. 

- Must live within 75km of my studio in Maxville, Ontario or be willing to travel within that range. The session can occur in-home, outdoor or in my studio. Please note my studio is on the second floor and not currently wheelchair accessible. I apologize for the inconvenience and I will make sure we still have a great session at another location!

Please fill out the information below honestly.
Sign in to Google to save your progress. Learn more
Name *
First and last name
Email *
Phone number *
City you live in?
Relationship to child that you're applying for?
Has your child been formally diagnosed with a developmental need that impacts his/her physical, learning, language, or behaviour development? *
Required
What is your child's formal developmental diagnosis and can you tell me a little bit about it?
Do you have paperwork to support the diagnosis?
Clear selection
What’s something you wish the community would know and understand about your child's diagnosis or development?
# of people participating in the session with ages (immediate family only)
Do you consent to signing a model release so these photos can be posted on my social media, website etc.?
Clear selection
What is your preference for the session location?
Clear selection
Would you like to be added to my email list so you never miss an update?
Clear selection
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Van Veit Creative. Report Abuse