Special Sparkles | Child Nomination

Special Sparkles | Child Nomination

This form is for nominating a child with special needs, aged 2-12 years old, for the 'Special Sparkles' project by TRILLI.
Special Sparkles is an initiative to create & donate GLITTER PORTRAITS of children with special needs, in time for the holidays & into the new year.

Trilli is a glitter artist from Toronto, Canada. (www.TrilliLife.com). Selected submissions*, will receive a custom made ALL GLITTER portrait based on the photo submitted, shipped to them anywhere in the world.

You may submit a photo of your child, 2-12 years of age. If you are submitting a photo of a child on behalf of the parent, please make sure you have permission of the family to use their photo!

Photo MUST be high resolution, close up and in focus, (not blurry or dimly lit). Photos that are not suitable to be created into portraits may be disqualified.

*Selected submssions are decided via a random draw, based on the number of 'promotional portraits' purchased during the month of November, via www.TrilliLife.com/Special-Sparkles . All received entries remain eligible for future portrait donations.

Only if selected, will you be notified. Please do not email me regarding the status of your submission. Your submitted information will not be used for any other purpose than this project.
Your Full Name *

First Name Last Name
Email *
example@example.com
Child's Name *
Please upload up to 2 photo images of the child. *

Browse Files
jpg, jpeg & png files accepted up to 5MB max size. Cancel of
Do I have permission to post this photo publicly on my website? *

Yes No
What is the child's date of birth? *
MM/DD/YYYY
Please feel free to share any comments you have, and/or your child's story (only info you are ok with being shared publicly please - or specify otherwise.). *

I may use this story to share publicly on my website, especially if selected. If you have any fundraiser campaigns or websites you'd like me to share, please feel free to include them as well. 0/250

Please provide a shipping address for the portrait to be sent to, if you are selected: *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Thank you for submitting! I hope I get the chance to make this portrait for you. I will be in touch if you are selected, but please understand there may be many submissions and I will not be able to respond to everyone.

If there are problems with the photo you upload or any of the information, I will notify you so to give you an opportunity to revise and resubmit.

Thank you all xo

TRILLI
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