Birth Photography

Client Questionnaire

Mom's Name *
Mom's Name
Mom's Phone *
Mom's Phone
Partner's Name *
Partner's Name
Partner's Phone *
Partner's Phone
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.
What type of birth are you planning? *
If you're not sure, just select what you THINK you'll do.
Location where birth will take place. *
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.