Photographers Registration Form

Note: This is an initial intake form and does not guarantee enrollment in the program. Our team will review submissions and follow up with next steps.
Name
Email
What is your street address in Altadena? Where did you live?
What happened to your home?
Did you OWN or RENT your home in Altadena?
Wherever you are at in your career, we will consider your request.
e.g., Fine Art, Photojournalism, Documentary, Portrait, Street, Landscape, Commercial, Event, etc.
e.g., People, Architecture, Nature, Abstract, Social Issues, Community Events
List your equipment here, separated by comma. This is on the honor system.
Add film, SD cards, tripods, and lighting gear here. Be specific with names and models.
Please let us know what’s on your mind. Have a question for us?
If you are not on social media, use N/A in this space.
If you do not have a website, use N/A in this space.
Can we share your story to help raise awareness?
Please opt-in here by checking this box to allow us to share your story to our social media channels and other collateral to help raise funds and awareness of our program.
Verification
I confirm that the information provided is accurate and that I lost photography equipment due to the LA fires.
Agreement
I understand that submitting this form does not guarantee I will receive equipment, but that my request will be considered based on availability and need.