Amara Photo Submission

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* 1. Name

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* 2. Email Address

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* 3. Phone Number

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* 4. Age

1-10

11-18

19-25

26-45

46-60

60+

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* 5. Please share your relationship to the child welfare system. You may select all that apply to you.

I am currently in foster care

I was previously in foster care

I am a parent with a child currently or previously in foster or kinship care

I am a kinship caregiver

I am the relative of someone currently or previously in care but I was not their caregiver

I am a foster caregiver

I am a professional who supports people involved in the child welfare system

Other

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* 6. Do you consent to let Amara print and share your photo in it's photography exhibit fundraisers on September 28th and November 2nd. (Some photos will be printed and others will be shared digitally on a screen.)

Yes, I consent.

No, I don't want my photo shown.

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* 7. I agree for guests to be able to contact me following the events if they are interested in purchasing my photo or learning more about my work.

Yes, please feel free to share my contact info with guests who are interested in my photo.

No, I would not like to be contacted.

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* 8. Would you like to include a brief description of your photo to accompany your image?
If so, please include that text below.

Max 50 Words.

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* 9. Do you confirm that there are no children who are currently in a dependency case, or children whose dependency status is unknown to you, included in your photo in an identifiable way?

Yes

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* 10. Do you confirm that any person who is identifiable in your photo has consented to be included in this photo submission?

Yes

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* 11. Name Release

I am open to having my name shared with my photo.

I would like to remain anonymous.

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* 12. Upload Photo Here.

Minimum resolution 300 dpi, 5400 x 7200 pixels, at least 40 MB.

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.

Choose File

Amara Photo Submission

Question Title

* 1. Name

Question Title

* 2. Email Address

Question Title

* 3. Phone Number

Question Title

* 4. Age

Question Title

* 5. Please share your relationship to the child welfare system. You may select all that apply to you.

Question Title

* 6. Do you consent to let Amara print and share your photo in it's photography exhibit fundraisers on September 28th and November 2nd. (Some photos will be printed and others will be shared digitally on a screen.)

Question Title

* 7. I agree for guests to be able to contact me following the events if they are interested in purchasing my photo or learning more about my work.

Question Title

* 8. Would you like to include a brief description of your photo to accompany your image?If so, please include that text below. Max 50 Words.

Question Title

* 9. Do you confirm that there are no children who are currently in a dependency case, or children whose dependency status is unknown to you, included in your photo in an identifiable way?

Question Title

* 10. Do you confirm that any person who is identifiable in your photo has consented to be included in this photo submission?

Question Title

* 11. Name Release

Question Title

* 12. Upload Photo Here.

* 8. Would you like to include a brief description of your photo to accompany your image?
If so, please include that text below.

Max 50 Words.