Your Name

First Name

Last Name

Email Address

Phone

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Child's Name, gender, and age

Additional childrens name(s), gender(s), and age(s)

What do you want to remember most about your child(ren), right now?

Do you have any special props (favorite blanket, toys, shoes, meaningful items) that you want to include in your session?

While each session (& each child) is unique, do you have any ideas or poses that you would like me to try and implement during your session?

If you have a Pinterest board, feel free to give me the link!

If anyone will be accompanying you to your session, please list their names and relation

A big part of growing my business is showcasing images on my website and social media (Twitter, Facebook, Instagram, and Pinterest) I use only first names, and will only tag you in posts if you wish. Do I have your permission to share the images from your shoot on my website and social media?

Yes

Yes, but don't tag me in posts

Yes, website only

Do you have any special concerns or questions for me about your session?

I want this to be a fun and comfortable experience! If there's anything I can do, let me know!

Is there someone we can thank for referring you? How did you hear about Rockwell Images?

Child Milestone Questionnaire