Scholarship Application - Normalize Breastfeeding Tour #NBFtour
Thank you for taking a moment to apply for a scholarship to participate in the OFFICIAL Normalize Breastfeeding Tour!

........

Scholarships open after the final payments have been received for the location. In an effort to photograph a diverse variation of normal regardless of financial boundaries, you can apply for a scholarship based on financial need. At that time, the scholarship application will be open to receive submissions for one week. After the applications have been reviewed, a maximum of 5 applicants will be selected to receive the "Normalize Breastfeeding" group photo scholarship award. The award includes participation and 1 group image.

If you are military verify with your CAC ID info (CAC ID EXP - 2015 JUL 19.)  If you are an UNEMPLOYMENT/ WIC/CASH AID/FOOD STAMPS recipient verify with your ID/CASE # and your City where you receive benefits.

**Email a photo of your information to normalizebreastfeeding@gmail.com for verification purposes.

........

SCHOLARSHIP AWARD
"Normalize Breastfeeding" Group Photo & Documentary Nursing in Public Group Photo

FREE –  Participation + 1 Group Image

Individual Images Available for Purchase

Non-Commercial Release to Print

Produce-style Breastfeeding Stickers

Photography & Published Breastfeeding Story

Password Protected Digital Download

Model Release Required

10 Years Cloud Storage


........

PRESS:
Breastfeeding Moms Take a Stand...:
http://www.huffingtonpost.com/entry/breastfeeding-moms-take-a-stand-with-first-ever-virtual-nurse-in_us_5697da62e4b0b4eb759d7ed7

Aweome Mom launches 'International Day to Normalize Breastfeeding'...:
http://elitedaily.com/news/world/mother-launches-international-day-normalize-breastfeeding-photos/1098624/

Mom Creates International Day to Normalize Breastfeeding...:
http://m.huffpost.com/us/entry/7688902

Nicole Trunfio is on a mission to Normalize Breastfeeding...:
http://www.elle.com/culture/celebrities/news/a29067/nicole-trunfio-breastfeeding/

17 Gorgeous Photos Show Breastfeeding...:
http://m.huffpost.com/us/entry/6754638

If these Photos Bother you...:
http://www.upworthy.com/if-these-10-photos-bother-you-this-photographer-also-shares-stories-to-help-you-relax-its-normal

10 photos show just how "normal" breastfeeding really is...:
http://blogs.babycenter.com/mom_stories/these-10-photos-10312014-show-how-normal-breastfeeding-really-is/

How One Photographer's Journey to...:
http://m.huffpost.com/us/entry/5997540

........

GET INVOLVED
Follow the Normalize Breastfeeding Tour https://www.facebook.com/events/1444268495880636/
Join our Tour Facebook group: www.facebook.com/NormalizeBfing.Tour
Join our worldwide support group: www.facebook.com/NormalizeBfing

Subscribe to campaign updates eepurl.com/-xl35

Normalize Breastfeeding (NormalizeBreastfeeding.org) is a photo project provided by Candid Perspective Photography (www.CandidPerspective.com)
All text herein Copyright 2016 Vanessa A. Simmons, Photographer
Sign in to Google to save your progress. Learn more
Email *
Name *
Address *
shipping items that might be out of stock
Mobile Phone *
How old is your nursling? If you are tandem nursing, you can check more than one box. *
Did you know the World Health Organization recommends breastfeeding for at least 2 years?
Required
Select A #NBFtour Location *
We are currently accepting scholarship applications for the locations below. Your application  Do not submit multiple applications.
Select A Tour Package *
You will be contacted directly if you are a recipient of a scholarship award for your location.
Briefly describe your need for assistance. *
Check all that apply. **Email a photo of your information to normalizebreastfeeding@gmail.com for verification purposes.
Required
Share Your Breastfeeding Story *
From birth until now. If you are military begin with your CAC ID info (CAC ID EXP - 2015 JUL 19.)  If you are an UNEMPLOYMENT/ WIC/CASH AID/FOOD STAMPS recipient begin with your ID/CASE # and your City where you receive benefits.
Model Release *
I am a willing participant in the Breastfeeding Awareness Media Campaign for NormalizeBreastfeeding.org.  I give Vanessa A. Simmons permission for my breastfeeding story, photographs, and video taken of the people listed below to be printed and published on the web for promotional and marketing purposes for Candid Perspective Photography. I understand that these photos or video may be viewed by anyone in the world, but no identifying information will be displayed. I, (YOUR NAME), am the parent or legal guardian of the following, child(ren) under 18 years of age, (LIST NAMES OF MINORS) and I give permission for their images to be printed and published.  -  (ELECTRONIC SIGNATURE - YOUR NAME HERE)
Required
List First and Last Names of Minors
separate with commas
Terms of Agreement
I understand each of the following terms of agreement with my initials below:
I am willing participant of the public Normalize Breastfeeding media campaign. *
your initials
Additional images will be available for purchase for $39.99 each. *
your intials
If my baby weans before my reserved session, for any reason, I may exchange my breastfeeding session for a family session to take place on the same date at the same time. *
your initials
My images may be used online by a third party, with the permission of the photographer. (ie. Huffington Post, BabyCenter UpWorthy) *
your initials
I will receive an email to view a shared gallery of images to select my final images 1-2 weeks after the reserved session. *
your initials
I will receive an email to view and download my high resolution print files, after my selections have been submitted. *
your initials
A 4-6 week delay may occur to receive campaign items that may be out of stock during the time of my session. *
your initials
Electronic transaction fees are my responsibility. I can avoid electronic fees by sending a Paypal Family/Friends payment to normalizebreastfeeding@gmail.com *
your initials
It is my responsibility to communicate with the photographer, Vanessa A. Simmons, about any unforeseen circumstances that may prevent me from participating, viewing the online gallery, or downloading the files for non-commercial use, by emailing her directly at normalizebreastfeeding@gmail.com or texting her at 760-544-3686. *
your initials
Electronic Signature *
USE ALL CAPS  -  (ex: YOUR NAME)
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report