home//made contact form

home//made contact form

this info is strictly for home//made records and will not be shared
thank you for participating! epli will not be able to work with everyone but will do her best to work with as many people as possible. she will be in touch when planning a trip near you. epli is particularly looking to working with more BIPOC, elders, and trans women - please spread the word!
Name *

First Name Last Name
Email *
example@example.com
City and State *
pronouns *
children's names and ages? *
your parenting name (optional)
gender identification (how do you describe your gender, if at all)
social media handles (optional)
if you have a partner, partners' name (optional)
partners' parenting name (optional)
partners' gender identification and pronouns (optional)
do you identify as black, indigenous, or a person of color? (optional)
ethnicity (optional)
age (optional)
how did you hear about home//made? (instagram, word-of-mouth, etc)
comments or questions?
Should be Empty:

thank you for participating! epli will not be able to work with everyone but will do her best to work with as many people as possible. she will be in touch when planning a trip near you. epli is particularly looking to working with more BIPOC, elders, and trans women - please spread the word!