Due Date *

MM

DD

YYYY

Name *

First Name

Last Name

Partner's Name

First Name

Last Name

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone *

(###)

###

####

Secondary / Partner's Phone

(###)

###

####

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. Please let me know your degree of acceptance in allowing me to utilize images from your session for marketing purposes. For particularly graphic images, approvals are always obtained from clients before use. It's important to note that some birth images can and have gone viral through social media avenues, generally for positive and empowering reasons. But please be aware that A Rae of Light Photography is not liable for where images can end up. *

Yes

Yes - After review and approval of images

No

What is the address of the location where you plan to give birth? *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Is this a... *

Hospital

Home

Birthing Center

How is your pregnancy progressing? *

Normal with no complications

High Risk

Pre-term labor / dilation

Some complications, but no concerns as of now

People in attendance during the birth *

Partner

Sibling(s)

Grandparent(s)

Doula

Midwife

Friend(s)

Videographer

Do you know the gender of your baby? *

Yes, girl.

Yes, boy.

No, not yet.

Twins!

I am particularly sensitive to when it's appropriate to be in the birthing space and when to step away. Would you like me to leave the room during particular situations or procedures? *

Vomiting

Internal Examinations

Epidurals

Emergency Situation

What particular elements of the labor and birth would you like me to capture?

Partner Support

The baby's head as it crowns

Bonding moments with specific family members

The placenta

Particular items that hold special meaning to the birth

How would you like me to capture the crowning moment?

From the side

From the mother's point of view

Crowning view

No preference

What parts of your labor / delivery do you want the most pictures of?

My labor experience (my team helping, different positions I try, the overall scene throughout my laboring)

The moment the baby comes (first reactions, the baby!)

My sweet, new baby (at arrival, but also perhaps a small photo session a little while later)

I'd really just like a good mix of everything!

In the event of a medical emergency, what would you like me to do? *

Keep documenting

Stop documenting

If for any reason you are to be transferred from home to hospital or from one hospital to another, would you want me to? *

Follow

Wait for instructions

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