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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

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

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* 6. Do you consent to let Amara print and share your photo in its photography exhibit fundraisers this fall. (Some photos will be printed and others will be shared digitally on a screen.)

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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.

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

Max 50 Words.

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* 9. Would you like to include a title for your photo?

Max 15 words.

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* 10. 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?

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

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* 12. Name Release

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* 13. Upload Photo Here.

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

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