Registry Contact Form — Karina B. Photography

Registry Contact Form

If you are pregnant and would like to use the Registry option to finance your birth photography (either the Birth Photography or Parent Packages) please complete the following Contact Form. Karina will contact you to set up your registry within 2-3 business days.

Name

First Name

Last Name

Email

Estimated Due Date

MM

DD

YYYY

Phone

(###)

###

####

Where do you plan to give birth?

City, State

Type of Birth Planned

How many children do you have?

*Not including this baby

If this is not your first child/pregnancy, please tell me a little about your previous experiences.

For example: how long your labor(s) were; any previous losses (that you are comfortable sharing); traumatic birth experiences, etc.