Birth Photography Model Call Application Please enable JavaScript in your browser to complete this form.Your Preferred NameYour Partner's Preferred NameEmail AddressPhone NumberSecondary Phone NumberEstimate Due Date (Known Date if Scheduled C-Section)Current PregnancyNormal with no complicationsHigh RiskPreterm labor/dilationSome complications, but no concern as of nowDelivery LocationHospitalBirth CenterHomePlease describe your past labors and births. Check all that applyThis is my first laborPreterm BabyQuick laborC-SectionLocation AddressYour healthcare provider is a/anOB/GYNMidwifeUnassistedOtherProvider's NameAre you willing to sign a model release allowing me to share your photos online?YesNoWhich elements of labor and birth would you specifically like me to capture?Baby’s head as they crownBonding moments with specific family membersPlacentaCare providers (with permission)BreastfeedingIdeally, how would you like me to capture the baby crowning?From the sideFrom mom’s point of viewFront crowning viewNo preferenceI believe it's empowering for women to see what birth really looks like, in all its beauty and difficulty. Are you comfortable with me sharing graphic photos from your birth? YesNoSubmit