Consent - Ethereal Birth

To formally book me for your birth, please fill out the consent and release form below. When your deposit is paid and my availability is confirmed, we're all set!

Your Home Address

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Planned Birth Location

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Note: I generally limit social media imagery to modest photos, unless my client has explicitly expressed interest in sharing more graphic details.

Yes

N/A (hospital)

Do you want to let other providers such as a midwife or doula to use any images I take at your birth for social media promotion and website/business promotional purposes?

Please type your name in the field above to confirm you have read and understand my non-guarantee clause and payment/refund policies, detailed below.

Yes

I consider all materials within this folder off-limits to share on social media without your explicit authorization after your birth. I never want a mom to be experiencing something hard or scary, hear shutter clicks or recording beeps, and wonder if her trauma is going be exploited for views online. You might authorize me to share this content privately (in person) with your consent, to demonstrate a real life example to a future client asking what they would receive if their birth is traumatic. Or you might authorize the birth team to make educational posts on social media with it, which may or may not include images of your faces, at your discretion.

If no, do not submit this form without first discussing concerns or negotiating arrangements with me over text, so we have an agreement in writing.

NON-GUARANTEE CLAUSE

I cannot guarantee I will MAKE IT TO your birth

especially if I am given less than 4 hours notice to make arrangements for child care and school transportation, or births outside of utah county that require a longer commute. the more notice we're given that labor is on the horizon, the more likely it is that I won't miss your birth

Please don't wait until you're checked into the hospital and 5+ centimeters with an epidural before notifying me that it's baby time.

I can't control your birth outcome

an important part of birth preparation is preparing for the unexpected. I can't do that preparation for you. beyond the physical & emotional support that comes with doula work, my role is to facilitate informed consent - not to save you from undesired outcomes and unwanted interventions. In the event that undesired medical interventions become favorable or necessary, I'll do my best to support and advocate for you, and help you understand the risks, benefits, and alternatives available to you. Trauma processing is included with my birth packages.

In the event I am unable to attend your birth,

I can offer:

fresh 48 photography

in-home newborn photography

a mother/baby/family portrait session

postpartum Doula visit

closing of the bones

cord burning ceremonies

birth & trauma processing visit

or up to a 50% refund

PAYMENT & REFUND POLICIES

I don't OFFER REFUNDS FOR FAILURE TO NOTIFY IN A TIMELY MANNER, OR NON-USAGE OF OFFERED PACKAGE BENEFITS

It is YOUR responsibility to keep me updated about your pregnancy, potential signs of impending labor, complications, medical inductions and c-sections, or changes to YOUR PLANNED birth location. Things can often change extremely quickly. I need time to double check that all of my gear is packed and ready. If I am unable to attend due to extenuating circumstances, best efforts will be made to secure a backup photographer or doula.

Venmo or paypal are preferred for payments

If you'd prefer to make your payment to my business account @etherealbirth, please include the associated 5% business account processing fees, or let me know if you would prefer to send your payment to my personal account without the business fee.

in lieu of financial exchange, service trades may be negotiated.

PLEASE PROMPTLY PAY IN FULL TO RECEIVE your birth album

failure to pay by the time your birth album is finished will result in the full album being withheld until payment is received. Late fees may be added - please communicate with me in a timely manner.

i know the last thing tired new parents need is a reminder about unpaid bills. your prompt payment for my services is greatly appreciated!

A HUMBLE REQUEST FOR PROFESSIONAL COURTESY

Please communicate with me as soon as possible if any concerns, complications, or professional incompatibilities arise, so we can address issues promptly and determine a course of action in our mutual best interest. It's important to me that our professional relationship remain respectful, courteous, and fair.

ETHEREAL BIRTH