CONGRATULATIONS on your pregnancy! Thank you for taking a moment to complete this questionnaire. 

Your Name *
Your Name
Your Phone Number *
Your Phone Number
In the case of an emergency, what is your birth partner's phone number? *
In the case of an emergency, what is your birth partner's phone number?
What is your estimated due date? *
What is your estimated due date?
Don't worry! I'm on call for the four weeks surrounding your date.
If you're not sure, just select what you THINK you'll do.
PRIVACY INFORMATION
SOCIAL MEDIA AND MY WEBSITE ARE AN IMPORTANT TOOL FOR ME TO SHARE MY WORK AND INSPIRE OTHER MOTHERS, AS I'M SURE YOU EXPERIENCED WHEN YOU BEGAN YOUR SEARCH FOR A BIRTH PHOTOGRAPHER. I WOULD LOVE TO HAVE THE OPPORTUNITY TO SHARE MODEST IMAGES FROM YOUR BIRTH IN MY PORTFOLIO AND ON MY BLOG OR SOCIAL MEDIA. I TAKE YOUR PRIVACY SERIOUSLY AND WE WILL OUTLINE THE DETAILS OF WHICH PHOTOS MAY BE SHARED IN OUR CONTRACT.
Would you like to inspire other women through sharing modest photos of your birth? *
If yes, I'd like to offer you a digital birth announcement within 24 hours of your birth.
Other Information
Your spouse/partner is welcomed and encouraged at this meeting. Your children are welcome as well.