Your Name

First Name

Last Name

Cell Phone Number

I need to add you to my contacts and enable Emergency Bypass, so my phone will ring when you text or call at 3am, and your call won't be auto-forwarded to voicemail.

(###)

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Emergency Alternate Phone Number

If for example I'm asking for a room number and access code, but you're too busy screaming or pushing your baby out to notice and respond!

Estimated Due Date

This helps me manage my schedule, so I can be prepared and on-call starting at 38 weeks.

YYYY

Your Email Address

I'll send your finished album via Google Drive. It will be available for a minimum of 30 days for you to download digital versions.

Your Home Address

In case the birth is going quicker than expected and you won't make it to your hospital or birth center.

Your Birth Location Address

Example: "Utah Birth Suites, 1883 N 1120 W, Provo UT 84604" I will save this address to your contact information.

Who will be present at your birth?

Please include names and roles.

Do you have any specific modesty preferences?

If you'd be MORTIFIED if your un-blurred nipple was included in a photo of the moment you first brought your baby to your chest, please be very specific about what your hard boundaries are.

Social Media Privacy Preferences

(See sidebar for examples.) While I retain ownership of all images I capture, and retain the right to share the uncensored images of you and your baby's faces on my website portfolio, I want to respect your wishes if you have concerns about data privacy on social media platforms where I post my work and find new clients, such as Instagram and Facebook. Please check each box below to approve me sharing specific types of identifying information, including you and/or baby's faces, when I post images on my social media. If ONLY the last box is checked, I may still share uncensored images from your birth here on my website that I would not share on social media, and will do my best to do so in a way that would be pretty much impossible for anyone to identify you, such as posting the album under a false name in my portfolio months later with a falsely tagged location.

You can share my first name

You can share my uncensored face

You can tag my social media username

You can share my baby's first name

You can share my baby's uncensored face

You can share the names of other loved ones present

Fake names and cropped out/obscured faces only

Other Birth Professional Release: Are you comfortable with images featuring you and/or your baby being included in your midwife, doula, or other birth practitioner's social media, portfolio on their website, etc?

(Most often applicable to midwifery clients delivering at a birth center - see sidebar for most common example.) If you found your midwife or doula through their social media presence or have formed a close bond with your provider and are comfortable with me sharing your birth details and photos with them, please share their name and contact information here. Type "not applicable" if you are delivering with an OBGYN in a hospital.

If you answered yes to the questions about your privacy, are there any people I should know about who I need to block for your safety/peace of mind?

If you're No Contact with a toxic family member, have a restraining order against an ex, have a stalker I should know about, etc, this is VERY important so I can keep you safe.

Are there specific things you do or don't want to see in your finished private album?

(See sidebar for black and white example of a placenta.) If you're grossed out or have a phobia about things like blood, a placenta, meconium, bath water with amniotic fluid/blood/vernix in it, needles, your baby crowning, etc, please be VERY specific about if you wish for those images to be excluded entirely, edited to be black and white only, blurred or cropped out, etc.

Do you want to have an audio or video recording from the sidelines during your delivery?

Sometimes we have a few free minutes to set up my phone behind or adjacent to where you're going to deliver your baby. I can hit record (audio or video!), so you'll be able to replay the sounds of your baby's first cries when you blink and suddenly they're off to their first day of Kindergarten. Typically trimmed down to just a few minutes, the raw and real sidelines-view of your birth, and will NOT be stylistically edited with music and pretty filter presets.

Should I continue taking photos and recordings if things get upsetting, traumatic, or become an emergency?

What if we have to transfer your baby to Primary Children's Hospital, or you aren't doing very well and need an emergency c-section? Having photos and videos of the hard things may actually help you to process birth trauma later when you're ready for it. Photos and videos can also be excellent documentation with timestamps, dosages, and things of that nature that your providers could also reference when they peer review. In this case, I'll keep these photos in a separate folder, so you can view your birth album without being exposed to the more upsetting moments. NOTE: I'm a Certified Advanced Provider for the Neonatal Resuscitation Program. If your midwife needs me to put the camera down to participate in a resuscitation, I am required to do so.

How would you prefer your finished album to be sent to you?

My average turnaround time is about 4-6 days depending on the duration of your birth. Your finished album will be sent digitally via Google Drive for free. I can only realistically guarantee this album will be available on Google Drive for 30 days, but I will keep a copy of them on my backup drive indefinitely, just in case. USB backup drives cost around $10 for me to produce and mail locally. If you'd like both, please let me know.

NON-GUARANTEE CLAUSE E-SIGNATURE

I will do my best to make arrangements with my husband and children, and to arrive in a timely fashion, but I CANNOT GUARANTEE that I'll make it to your birth, especially if I'm given less than 3 HOURS NOTICE that labor has begun. I need your cooperation to stay in communication with signs of early labor, or arrangements for an induction/c-section! Failure to notify me of your birth does not mean you will get a full refund - see refund and deposit policy below for an in-depth explanation. If I am not able to attend your birth due to extenuating circumstances like weather, traffic, chronic migraines, etc, I will do my best to make arrangements with you for Postpartum, Fresh 48, or Newborn photography. Please write your full legal name in the field below as a digital signature to affirm you agree with these terms.

Ethereal Birth Photography
Client Consent

Sequence of three images showing the stages of childbirth. The first image is a black-and-white photo of a newborn being delivered. The second image shows a newborn baby resting on an adult's chest, after birth. The third image depicts a woman lying in bed holding a newborn baby close to her chest, still in the immediate postpartum period.

Privacy & Preference Examples

Social Media Privacy Preferences:

Images are often the most effective way to express your comfort levels with revealing images of you and your baby’s body on social media.

The first image is a side view of the moment baby’s head was fully outside of the vagina, but the shoulders had not yet come out. The side profile angle does not reveal mom’s vulva or anus, as they’re hidden behind her thigh.

The second and third images show mom’s chest, and her fully exposed and uncensored nipples, as she waited for baby to latch. We can obstruct your nipple/areola with something like an emoji heart, a text box, and try to crop or blur it in Lightroom and Photoshop for social media.

Note that in the third image, the photo was cropped in a way that the upper pubic area is included, but it does not reveal her labia, clitoris, etc - which may have been in frame in the unedited photo. This image is very consistent with my personal modesty preferences for images shared on social media and my portfolio.

A woman with closed eyes lying on her back, holding a sleeping newborn baby against her chest.

Sabina consented to images with her face being shared online, but wishes to keep baby’s face private, so this is an example of what was shared on social media with this restriction. We can censor images more easily in Instagram with shapes/stickers, text boxes, blurring, and sometimes we can strategically crop faces out for social media purposes.

I reserve the right to share the fully uncensored versions with your child’s likeness on my portfolio to demonstrate my capabilities with editing, but out of professional courtesy, I will not share them on social media without your consent.

Text message conversation about a recent birth, labor progress, and postpartum updates.

Other Birth Professional Release:

Above: Right after being summoned to a birth by my preceptor, she had to leave to attend a funeral, and had to call other midwives to fill in for her at this delivery. We kept her in the loop with play-by-play texts about how things were going in her absence, and needed her input to manage a stubborn placenta that wouldn’t release for over an hour. After the birth and skin-to-skin time, the client consented to me sending images with her midwife.

Action shots are often treasured by midwives, doulas, lactation consultants, and other Birth Professionals who have formed close relationships with birth clients — especially if they were unable to attend your birth due to unforeseen and unavoidable circumstances.

If you’ve bonded with a certain midwife or doula through your pregnancy and you want to allow me to share updates with them, they LOVE being surprised with images and text updates from your birth so they can admire your strength and accomplishments. Forward me their contact information if this applies to you!

Are there things you don’t want to see in your finished album?

If you have phobias with blood, needles, tissue, feces, chunks of vernix, poop/meconium, etc, PLEASE tell me! Let me know if you would like for images featuring these things to be edited in black and white only, or not included at all in your final album.

If you think you might wish you had these photos someday, my recommendation is to request black and white versions.

Person wearing gloves handling a large, slimy, and textured sea creature, likely a fish or marine animal, on a white surface.

PAYMENT POLICY

If your balance is not paid in full before your birth, your full digital album will be withheld until your balance is paid.

Those first few weeks are always a complete blur, and I don’t want to be a source of stress for you while you’re bonding with your baby. I know what it’s like to have a little one on the way, and a mile long list of things you need to spend buckets of money on before they get here.

For the sake of your postpartum peace, if it’s possible to pay before your birth, I recommend it, so there’s one less person trying to hound you for money while you’re busy recovering and snuggling your little one and getting the hang of breastfeeding.

We have options if you need to break it into smaller payments. My website offers Klarna through the checkout page, to break big balances into smaller automatic payments, and PayPal also offers Pay It In 4.

I am on both Venmo and PayPal. My username is @etherealbirth. QR codes below:

DEPOSIT & REFUND POLICY

80% of your payment is a non-refundable deposit to book my services. Cancellations within 14 days of entering the above service agreement will be returned for a full refund.

To keep my schedule manageable and prevent myself from accruing a significant backlog to edit while I’m also attending clinic appointments and births as a Student Midwife, I can only accept a maximum of 3 clients per month. This means the sustainability of my business is heavily reliant on clients following through. If I turn other clients away because I have you booked during your 10-day window, and then you don’t call when you go into labor and I’m unable to attend your birth… I’ve not only missed out on your session, but I’m also missing out on building a relationship with a client who may have followed through with me, and I lose an opportunity to expand my portfolio, and progress my Student Midwifery education by attending your birth.

I make myself unavailable to other clients so I am on call for you - whether I attend your birth or not, my lifestyle is significantly impacted by being on call for you 24/7 from 39 weeks to 42 weeks.

Yes, I understand the unpredictable nature of birth, and the significant expenses of bringing babies into the world; this isn’t about precipitous labor or emergency c-sections. It’s about putting a monetary value on the substantial sacrifices me and my family make so I can be on call for you, and incentivizing you to respect that investment. I can’t count how many hours of work I invested to get to know model call clients that weren’t even paying for my services, extensively discussing their birth plans and wishes, coordinating consultations, documenting our conversations for future reference, supporting them through their pregnancy, and adjusting my lifestyle and sleep schedule as their due date approached… and passed… just to get ghosted, and without so much as a courtesy text after baby was born that I’m no longer on call.

Thank you for your understanding!

Ethereal Birth PhotographyClient Consent

PAYMENT POLICY

DEPOSIT & REFUND POLICY

Jordan Leigh TomkinsonUtah County Birth Photographer, Doula, & Student Midwifejordan@etherealbirth.com

Ethereal Birth Photography
Client Consent

Jordan Leigh Tomkinson
Utah County Birth Photographer, Doula, & Student Midwife
jordan@etherealbirth.com