Urgent Hospital Session

Name *
Name
Please give us your name
Child's Name *
Child's Name
Tiny Light's full name
Please tell us the name and location of the Hospital
Home Mailing Address *
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.
Phone *
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.
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.
Release Form
This needs to be filled out before we can begin to match you with a photographer
This can be your typed full name or your email
Terms *
Memory Captured by Asher Images

Memory Captured by Asher Images