Prenatal Massage Model Interest Form

Name *

First Name

Last Name

What is your estimated due date? *

MM

DD

YYYY

Are you willing to sign a photo release form allowing us to use your images for promotional purposes? *

Yes

No

Do you have any high-risk pregnancy symptoms such as high blood pressure or placental abnormalities? *

Please note: Unfortunately, for the safety and well-being of our models, we are unable to work with individuals experiencing high-risk pregnancy complications.

Yes

No

Are you available all day on Tuesday, August 5th for the photoshoot? *

Yes

No

Are you comfortable and able to lie face-down on our pregnancy cushions during the shoot? *

Yes

No

Are you able to comfortably model Spinning Babies movements if we provide instructions? *

Yes

No

Have you received a prenatal massage with us before? *

Yes

No

By submitting this form, I understand and agree to the following: *

The photoshoot session will be held exclusively on Tuesday, August 5th, 2025.

The complimentary in-office prenatal massage is only redeemable at my convenience on a later date.

Client participation is not guaranteed, as we are actively encouraging diversity in our model selection.