Name * First Name Last Name Preferred Pronouns Email * Phone * (###) ### #### Due Date * MM DD YYYY Type of birth planned * (I love photographing ALL types of birth!) Natural Hospital Medicated Hospital C-Section Home Birth Birth Center VBAC/HBAC Where are you located? How many children do you have? * Not including this baby. I'd love to know more about you and your birth plan! Anything else I should know? I understand that I will be asked to sign the model release in exchange for the special Model Call Price ($450). * A mom who signs up for this model call will be asked to sign a model release in exchange for the discount so I can promote birth photography to other moms (no sensitive photos will be shared without written permission)! If you are accepted and rescind your agreement, you will be liable for the non-discounted amount ($1500). Yes Thank you! I’ll be in touch via email to confirm your application within the next 24 hours! If you don’t hear from me, please email me at mackenziebrockmanphotography@gmail.com