EmailMe Form - Newborn Rep Program Application

Name

First Last

Email

Phone

### - ### - ####

Address

Street Address City State / Province / Region Postal / Zip Code Country / Region

# of Weeks Pregnant

Due Date

Multiple Birth?

Children's names and ages

Activities, clubs or organizations you are involved with in the community.

Why do you think you would be a good Newborn Rep for Scrappy Doodles?

List at least 2 ways you plan on promoting Scrappy Doodles.

Are you willing to pass out Rep cards to anyone you think would be interested in Scrappy Doodles?

Please select yes or no

Are you willing to post photos from Scrappy Doodles on your Facebook page and social media pages?

Please select yes or no

Are you willing to be Facebook friends so I can tag you in photos?

Please select yes or no

Are you willing to exclusively represent Scrappy Doodles and no other photography company?

Please select yes or no

If selected, how many people do you think you could realistically refer to Scrappy Doodles?