Instagram Submission Form PIN IT Date* MM DD YYYY Name as you'd like it to appear at the end of your post*Email* Instagram URL so we can properly tag you in a post* Facebook URL (if applicable). Please ONLY include your Facebook Writer/Business page and not a link to your personal Facebook page). If we share your post on Facebook we would love to tag your page in the post. Reflection Submission (150-350 words, not to exceed 2000 characters)*Image Upload (optional - Please make sure any image you include was captured by you personally and is of you and your dependents only, no images from other sources) Drop files here or Accepted file types: jpg, png. By submitting this reflection for publication, I grant Kindred Mom written permission to publish this reflection on their social media channels with attribution to me. I understand submission does not guarantee my content will be shared. I certify the written content here is my original work and not previously published elsewhere. I also certify any images contributed along with my submission have been captured by me ONLY (no photos from other sources please), and do not include any minors that are not my own children. I hereby give my consent for Kindred Mom to publish any of the images I’ve provided that include my children in connection with the reflection I have submitted and release Kindred Mom from any liability related to my child(ren) appearing in any photo(s) I have voluntarily provided. I understand my reflection may be paired with a different image at the discretion of the Kindred Mom social media manager. I understand Kindred Mom also reserves the right to edit my post for grammar, usage, and formatting.* I agree This iframe contains the logic required to handle Ajax powered Gravity Forms.
