Levine Children's NICU Schedule

If your baby is premature or will have an extended stay in the NICU, they are eligible for bi-weekly free photo sessions with your local Capturing Hopes Photographer.

IMPORTANT: If your hospital currently has any visiting restrictions for visitors that are not family members, please do not request a session until those restrictions are lifted.

Mom's last name (per hospital records)

Baby's First and Last Name

Guardian's Email

Guardian's Phone

Baby's gender

Baby's current weight

Please choose the best time for your photo shoot below

Wednesdays bi-weekly 1:00-3:00 PM (Photographer: Deneen Bryan)
I need another time, please have a photographer email me.

Baby's Pod/Bed Number

Baby's pin number for visitors if applicable

STOP: Only fill out the below consent form if this is your baby's FIRST session with Capturing Hopes

Copyright and Permissions Information:Your photographer will email a beautifully edited photo gallery of images from your child’s session free of charge to you. All photos are high resolution and can be downloaded and printed by anyone that you allow to access the gallery. Capturing Hopes and Hope Photo remain the sole copyright owner of the photos and must be credited in any promotional medium that the photos are used, including but not limited to: news articles, online blogs, magazines, hospital promotions, news media stories, business promotions, and photo competitions. Capturing Hopes/Hope Photo must give written permission for any photos to be used in any of these mediums and must have knowledge prior to use. Please sign below indicating that you understand both the copyright and printing rights included with your photo session. NOTE: This must be signed prior to booking a session with Capturing Hopes/Hope Photo Photography.

Please sign below indicating that you agree to allow the Capturing Hopes/Hope Photo affiliated photographer permission to photograph your child/family while in the hospital. All photos remain the copyright owner of the organization and may be used to promote the organization’s mission of spreading hope to families.

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Information about your scheduled photo session with Capturing Hopes!

Thank you for your submission, please read the information below to prepare for your child's session.

IMPORTANT

- If you need your baby's photo session at a specific time within the time frame, please let them know by replying to this email with the time. *It must be within the time frame you chose.
- A parent or family member must be present at the time of your child’s session.

- Let your baby's nurse know that a photographer will be arriving at the scheduled time you chose. You will probably need to add the photographer as your guest/visitor in order for them to be able to photograph your baby.

- You will receive an email with 5 edited digital photos within 7 days of your session.

- Please share our free service with other NICU families in your unit. We want to be there to capture NICU journeys for as many families as possible. Just send them this link: https://www.capturinghopesphoto.org/book-now

- If you have any other questions, please text 336-710-7026

To make a donation, please visit our donation page HERE

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