Thank you for considering to be photographed and sharing your story for the Collateral Damage project. After you have submitted your information I will contact you to get to know you, your story and to discuss the project further. I am anticipating photography to begin in 2013 when I will begin traveling to meet and photograph all those who will be featured in the book and exhibitions.

If you have any questions about your participation in this project please feel free to contact me: scott@leftbehindbysuicide.org, or call (807) 768-5217, or Toll Free (888) 835-9041.

All fields are required.

Name:

Email Address:

Telephone Number:

City/Town:

Province/State:

Country:

Relationship to person who died by suicide:

Share your story:

NOTE: All personal information will be kept confidential. By coming forward, you are not in any way committed to participate. Also, while your participation will valuable, not everyone will be chosen for the book.