Celebrating our Children through Art

Name of child *

Age (when picture drawn) *

Date of birth *

Diagnosis:

Any specific disabilities in movement or cognition? *

Date of death (if deceased)

Names and ages of siblings:

Name of Parent submitting *

City *

Contact email: *

Phone (optional)

Name of other parent (or state if none) *

Date of picture *

Does the picture have a name? *

State any handicap(s) the child faced when doing the picture. *

Please give any comments about the meaning of the picture to you, the parent, and/or to the child, and any other helpful background

Upload picture from your computer/phone

Upload photo of child