In this section, we will be asking you questions about your child.  Please answer the question to the best of your ability.  Please be sure to give as much detail as possible. This will help us write a beautiful story to go along photos.  Be as emotional and personal as possible!  If you have any questions, please email us at 

Thank you so much!

Child's Name *
Child's Name
Parent or Guardian's Name *
Parent or Guardian's Name
Date of Birth *
Date of Birth
Tiny Light DOB
When did you find out? What were your feelings? How did you tell your child?
By entering your email below, I agree that everything said in this interview is in fact true and that The Tiny Light Foundation is allowed to quote me/and or my participant with anything answered above.