Mom's Name First Name Last Name Dad's Name First Name Last Name Email * Address Address 1 Address 2 City State/Province Zip/Postal Code Country Mom's Cell Number * (###) ### #### Dad's Cell Number (###) ### #### Emergency Contact include relation to contact (i.e. "mom") (###) ### #### Emergency Contact Phone Number (###) ### #### BIRTH INFORMATION Ler's get to the fun stuff! Estimated Due Date: If you have an induction date, you can put that here! Planned Birth Location * Home Hospital Birth Center Other Name of Planned Birth Location * (if you're planning to birth at home, add your address) Planned Birth / Labor Method Spontaneous Labor Planned Induction Planned Cesarean Have you spoken to your Doctor/Midwife about having a birth photographer attend? * (if not but you plan to, check yes) Yes No In the event of a C-section, have you spoken with your doctor about allowing photography in the OR? Yes No N/A (homebirth/birth center) Will you have a doula or other support team member present? Yes No Please list important family that will be in attendance at the birth: (doula, any grandparents, siblings, etc.) Anything you would like me to know about your birth, labor plans, doctor, hospital, etc.? During the moment baby is being born, what point of view would you like the photos to be taken? Behind mom's shoulder? Doctor/midwife's perspective? A mixture of both? We'll chat more about this when talk, so you have time to think if you're unsure! Thank you! BIRTH DETAILS
