It was an Honor.

Name *

First Name

Last Name

Can we share photos or video clips from your birth story on SOCIAL MEDIA? We would not post nudity. *

Please check all that apply.

Yes

No

Only specific photos or video clips that have been approved by me

Only non-identifiable images

Can we share photos or video from your birth story on our WEBSITE? *

Please check all that apply.

Yes

No

Only specific photos or video clips that have been approved by me

Only non-identifiable images

We may share photos of your providers (doulas/midwives/doctors) as long as they don’t include anything that identifies you. Would it be ok to share photos with them that include you or your family? We would ask you specifically about any photos that include nudity. *

Please select all that apply.

Yes

No

Only specific image or video clips that have been approved by me