Birth Storytelling Booking Form & Preferences
Please complete the form below to book this service.
If you have any questions please do not hesitate to contact me. :)

Christa Buckland
BHlthSc (Health Promotion)
Doula, Childbirth Educator, Hypnobirthing
0422 229 312

Email address *
Full name *
Your answer
Your mobile number *
Your answer
Residential Address: *
Your answer
Estimated Due Date *
Are you having a boy or girl? *
Who will be attending the birth with you and what is their relationship to you? *
Your answer
Please tell me a little about your family - e.g. Is this your first baby? How many other children do you have? *
Your answer
Please select an option: *
If you selected Option B, and the images you are providing were taken by a professional photographer, please provide their details so that I may credit them in the slideshow:
Your answer
Music preference: *
Image preferences: *
Is there anything significant you would like to share about your journey or the upcoming birth?
Your answer
Do you have any specific ideas or requests for the slideshow?
Your answer
Do you give permission for at least 5 photos plus the slideshow to be shared publicly on my websites and social media pages? *
How did you hear about my service? (select all that apply) *
Payment can be made by direct deposit (preferred) or PayPal.
$100 non-refundable retainer is required upon booking. The remaining fee is due no later than 36 weeks.

Direct Deposit Details:
Bank: ANZ
BSB: 012-556
A/C: 587550123
Name: Christa Buckland


Terms and Conditions
Creative decisions:
I will try my best to accommodate your preferences provided in this form however the final creative decisions relating to image choice, order, timing and audio track are made by me. This is largely done without consultation (post birth) so as to not disturb you and to ensure the efficiency of the process.

Extra editing:
An additional fee is payable if you would like editing after the final product has been created. This is charged at $60 per hour.

Timing Guarantee:
The finished product will be completed and made available to you within 72 hours of the birth.

The product is delivered to you digitally. A link will be provided to you and you will need to download the images and slideshow directly to your computer.

When sharing the product, you must always credit the artist (Christa Buckland) as the creator of the slideshow and (if applicable) the photographer. If you have provided the photos (Option B), credit will be given to the photographer (if applicable) for their images.

Fee and inclusions - Option A:
The fee for this service is $500. This includes:
- phone consult to discuss your preferences (30 mins)
- up to 10 hours to create the slideshow
- birth slideshow (3-5 mins)
- Licence for 1 audio track
- digital copy of all photos/video taken by me

Fee and inclusions - Option B:
The fee for this service is $500. This includes:
- phone consult to discuss your birth story and preferences (90 mins)
- up to 10 hours to create the slideshow
- birth slideshow (3-5 mins)
- Licence for 1 audio track

Privacy Fee:
The fee for option A and B assumes that you give permission for a minimum of 5 still images and the slideshow to be shared publicly on my website and social media pages. If you do not want this to occur, an additional fee of $250 is required.

The above fees do not include birth attendance or photo editing.

All photos and video taken by me and the slideshows created remain my property. I provide you (the client) with the right to use and share the product.

Payment Terms:
A $100 non-refundable retainer is required on booking.
The remaining fee is due NO LATER than 36 weeks.
Your booking will be cancelled if the remaining fee is not received by this time.
If booking after 36 weeks, payment is required in full at booking.

The $100 retainer is not refundable under any circumstances.
Refund (of the remaining fee) CANNOT be given for change of mind.
Refund (of the remaining fee) is given solely at my discretion.

Please check the box below to acknowledge that you have read and understand the above terms. *
A copy of your responses will be emailed to the address you provided.
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service