Enter to be in our Annual Calendar
Thank you for your interest in our Annual Calendar! We are so excited you are here. Please complete the form below to enter your child's photo for a chance to be featured in our calendar.
Full Name
*
First Name
Last Name
E-mail
*
example@example.com
Upload Photo
*
Upload a File
Drag and drop files here
Choose a file
Each month will have a special theme. When taking your pictures, try and keep these themes in mind: winter, spring, Angelman Syndrome spotlight, Autism spotlight, Down Syndrome spotlight, Moms and their kids, travel, special abilities, pets, grandparents, siblings & December holidays
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Where should we send your calendar?
*
Address, City, State / Province, Postal / Zip Code
Street Address Line 2
City
Name of person using The Safety Sleeper®
Your child, loved one, or client.
Diagnosis of person using The Safety Sleeper®
Your child, loved one, or client. Used to determine who will be featured in our diagnosis specific months (Autism, Angelman Syndrome, Smith-Magenis)
Do we have your permission to share these pictures on our social media and website?
Yes please!
No, thank you
Submit
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