Hospital Session Application

Name *

Please give us your name

First Name

Last Name

Child's Name *

Tiny Light's full name

First Name

Last Name

Home Mailing Address *

Full address, city/town and postal code. If you do not fill this out with all the info needed, you will not receive your prints.

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone *

Please provide a phone number you can be reached at. If it is a hospital number, please provide any info the photographer may require in the 'other' spot at the end of the application.

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I understand the information I have provided will be shared with the Tiny Light Foundation staff. All information is true to my knowledge. * *

Please understand all personal information will NOT be shared outside our staff.

Agreed

Terms *

Yes, I agree with these terms

No, I do not agree with terms