Home
About
Mission
History
Contact Us
Connect With Us!
Staff & Board
Financials
Locations
Alabama
Charlottesville, Virginia
Greater Philadelphia Area
Delaware
Glendale, Arizona
Greater Lafayette
Greater Pittsburgh
Kansas
Morristown, New Jersey
New Hampshire
New York
Northeast Georgia
Southern Illinois
Southern New England
Terre Haute, Indiana
GIVE
Make a Gift
Match Your Gift
Host a Fundraiser
Volunteer
Scent Hearts
Books for Babies
NICU Friendly Costumes
NICU Support
NICU Awareness Month
Care Packages
NICU Journaling Workshop
Food & Fuel Assistance
Breast Pump Program
NICU Grad
Milestones
Facebook Forum
Mental Health Worksheets
Nominate a NICU Nurse
Other Resources
>
Regional Resources
National Resources
Disorder Resources
For Health Professionals
Bereavement Support
Memory Boxes
We Remember
Write Your Grief
Luminary Vigils
Other Resources
Hospital Memory Box Orders
NEWS & EVENTS
In the News
Shop
Home
About
Mission
History
Contact Us
Connect With Us!
Staff & Board
Financials
Locations
Alabama
Charlottesville, Virginia
Greater Philadelphia Area
Delaware
Glendale, Arizona
Greater Lafayette
Greater Pittsburgh
Kansas
Morristown, New Jersey
New Hampshire
New York
Northeast Georgia
Southern Illinois
Southern New England
Terre Haute, Indiana
GIVE
Make a Gift
Match Your Gift
Host a Fundraiser
Volunteer
Scent Hearts
Books for Babies
NICU Friendly Costumes
NICU Support
NICU Awareness Month
Care Packages
NICU Journaling Workshop
Food & Fuel Assistance
Breast Pump Program
NICU Grad
Milestones
Facebook Forum
Mental Health Worksheets
Nominate a NICU Nurse
Other Resources
>
Regional Resources
National Resources
Disorder Resources
For Health Professionals
Bereavement Support
Memory Boxes
We Remember
Write Your Grief
Luminary Vigils
Other Resources
Hospital Memory Box Orders
NEWS & EVENTS
In the News
Shop
Photo & Testimonial Release
*
Indicates required field
I give permission to Project Sweet Peas to take and use photographs of me and/or my family. I give permission to Project Sweet Peas to modify, reproduce and distribute any of the photographs it has taken of me and my family, or that I have provided to them, locally, nationally or world-wide in any form or medium, including over the Internet, for educational, fundraising and other purposes in furtherance of their mission, without further notice to me.
*
I have read and agreed to the above statement
Photo upload
*
Max file size: 20MB
Photo upload
*
Max file size: 20MB
Photo upload
*
Max file size: 20MB
I give permission to Project Sweet Peas to use my family’s personal story and/or testimonial provided, together with the photographs, or on it's own, for educational, promotional and fundraising purposes.
*
I have read and agreed to the above statement
I release and discharge Project Sweet Peas from any claims or demands in any way relating to the taking, delivery, or the use of the photographs and/or personal story and testimonials.
*
I have read and agreed to the above statement
Electronic Signature: By typing my name below, I agree to the above statements.
*
First
Last
Email
*
Address
*
Line 1
Line 2
City
State
Zip Code
Country
Submit