Hello Mama, 

First of all, THANK YOU so much for trusting me with documenting the birth of your child. Regardless of whether this is your first or your last child, the moment of birth will always be special. Again, I am honored to be chosen to record these precious moments for you. 

Please take the time to fill out the following form to help me better serve you.

What is your name? *
What is your name?
Your Phone Number
Your Phone Number
Partner's Name
Partner's Name
Partner's Phone Number
Partner's Phone Number
Expected Due Date?
Expected Due Date?
Other Contact Person *
Other Contact Person
Will anyone else be present at the time of birth that is allowed to provide information regarding labor progress? IF SO, please provide name and number.
Other Contact Person's Phone Number
Other Contact Person's Phone Number
People in Attendance. *
List any people that will be attending the birth of your baby. Check any that apply.
Birth plans can change in any given moment in the best interest of the baby, but helps better prepare your photographer for covering your birth story.
Planned Induction or C-Section Date *
Planned Induction or C-Section Date *
Please select the place that best describes where you plan to give birth.
Birth Location Address *
Birth Location Address
Transfer *
If for any reason you are to be transferred from home to hospital or from one hospital to another for any reason, would you want me to:
Current Pregnancy
How is it progressing? Check any that apply.
As I'm sure you are well aware, my work is photojournalistic in nature, but if there are any specific types of shots you would like recorded, please describe below and I will do my best to produce these if the situation allows.
I want most of my pictures to be of: *
Please nominate the particular elements of the labour and birth you would specifically like me to capture?
Let's talk about pictures during your labor & delivery. *
What you would like photographed: * Check any that apply.
In the even of an emergency involving baby or mama, do you wish for me to continue photographing (as long as it does not interfere with birth place policy).
Please provide information regarding any birth photography restrictions that you are aware of.
I understand that birth is unpredictable in nature and that although I have provided the information to the best of my ability, birth plan and location may change. I am responsible for contacting my photographer and providing timely notice of birth plan changes. *
How did you break the news to your partner that you were expecting a baby? What feelings have come up during this pregnancy about your baby? What are you most looking forward to about the arrival of your new baby?
As you probably know, Social Media is my largest tool for sharing my work. I would love the opportunity to share your (non-revealing) birth images in my portfolio and with my followers. But, ultimately, The decision is up to you.
Facebook Sneakpeak?- non-revealing
If I am unable to attend your labor and a back-up photographer was not requested, you are entitled to a Bonding Session where I photograph you & your baby within 48hrs of the birth. *
**** you or your partner is responsible to contact me to arrange a time for this session at the hospital or in your home.