Inquiry form – Spinning Babies Parent class & photo shoot Spinning Babies Parent Class - Photo shoot Inquiry for participation Your inquiryThis form is to help decide who will be in the free Spinning Babies Parent Class on DATE in exchange for full photo image permissions. Some questions are to help me have a mix of participants for the photo shoot. Some questions are to be sure that this class will work for you, given the requirements of the photo shoot.Contact informationChildbearing woman/person* First Last Email* Phone*Father/Partner name* First Last Father/Partner phone*Estimated arrival date of your baby* Date Format: MM slash DD slash YYYY Questions for childbearing woman/personDo you have high blood pressure?* No Yes Pregnant women/persons with high blood pressureAlthough you could participate in a regular Spinning Babies Parent Class, you would not be able to do all the activities for the photo shoot. Do you have any restrictions on movement?*Note if you have any restrictions on movement other than the normal adaptations of pregnancy? No Yes Describe any restrictions on your movementWill you be able to be in this position (with a helper), which may be challenging for some people?*An image of a Forward Leaning Inversion was sent to you. Please look at this image to answer the following questions. Your partner will be trained in how to help you get in & out of position. You will find the image shared in the e-mail that that I sent you with this form link. Yes No Comfort in being photographed*Do you feel comfortable with all parts of your body, particularly your belly, hips and bottom, being photographed and shared? Do you feel comfortable wearing clothing that shows the shape of your belly, hips and bottom? You will be fully clothed for the whole session. Yes No How tall are you?*This helps me to know what size balls to have available.Why do you want to take the Spinning Babies Parent Class?Brief noteHow did you learn about this free Spinning Babies Parent class?* Doula referral Midwife referral Friend referral Facebook page Other Please provide the name of the person who referred you*In which facebook group did you find the posting for this free class?Questions for dads/partnersDo you have any restrictions on movement?* No Yes Describe any restrictions on your movementDo you have restrictions on how much weight you can lift?*Especially consider how your lower back feels if you are lifting weight In the range of 25-40 lbs No Yes Restrictions on movement & liftingAlthough you could participate in a regular Spinning Babies Parent Class, you would not be able to do all the activities for the photo shoot.Agreements of parentsOnly families that agree to each of the following conditions will be selected to participate in the free Spinning Babies Parent Class & photo shoot. By submitting this form, we agree to the following:We are able to fully participate in class on DATE from 1:30 - 4:30pm.*Families who are selected will be notified and sent location of class. Class will be held in Minneapolis near Riverside exit of I94. Yes No I, the childbearing woman/person, will wear comfortable, fitted clothing in which my belly, hips and bottom can be seen.* Yes No I, the childbearing woman/person, will fill out comprehensive intake forms prior to the class.* Yes No We will fill out an evaluation form within two weeks after the class.*An evaluation form will be sent to you. The results and comments in the evaluation will be shared with families. Yes No We will share our birth story, with a focus on how Spinning Babies helped you prepare for birth and how you may have used Spinning Babies during your birth.*An online birth story form will be sent to you later. You may share the parts that you choose to share. Yes No We will sign release forms for the photo shoot, giving permission for use of all images to Catherine Burns of MamaBebe.*Release forms will be provided at the beginning of the class Yes No Optional: Send photo now*Families who send a photo now will be more likely to be selected, in order to help create a mix of participants. If you are able, please send a photo of mother/pregnant person to Catherine@MamaBebe.org. Yes No Thank you for inquiringThanks so much for inquiring about the Spinning Babies Parent Class & photo shoot. Families who are selected will be notified by Saturday at noon, or earlier if possible.