SAINT NICU Event 2018
Baby Full Name: *
Your answer
Parent Name: *
Your answer
Email: *
Your answer
Phone: *
Your answer
Which hospital is your baby/child at? *
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.
*Type Name Below to Consent to Photo Session
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.
*Type Name Below to Consent to Photo Session and Marketing
Your answer
Choose a time preference for your session. Capturing Hopes can not guarantee a specific time but we will try our best to be there around this time. PLEASE NOTE: A family member or friend must be present with your baby at the time of the scheduled photo session. If no one is present, we will not be able to take your photos. For more information about this, please email us:
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.