Birth Photography Model Application

For expectant mothers due in 2023 or 2024 in New York and Vermont in the areas surrounding Lake Champlain.

Promotion ends once 3 spots are filled. Applicants will be notified whether or not they have been selected for this promotion within 2 weeks of submitting this application.

I'm so excited to have you here!

Jalina

Hello! What's your name? *

My name is Jalina.

Are you expecting a baby in 2023 or 2024? *

Congratulations! When is your estimated due date? *

What kind of birth are you planning? *

I hope your birth is everything you're planning and more. In which city or town do you plan to give birth? *

I serve mamas in both New York and Vermont.

What is your preferred email address? *

And your phone number? *

I'll only use this for communication in regards to your application.

If I have to contact you by phone, do you prefer phone call or text messaging? *

Have you given birth before this baby? *

No! First time here!

Yes, I've given birth to ONE child.

Yes, I've given birth to MORE THAN ONE child.

Who do you plan to have with you at your birth?

Is there anything else you'd like me to know about your pregnancy, baby, or birth plans?

Would you like to receive updates about our doula or photography services? (I don't sent many!) *

If YES, please retype your email address below: