Bespoke My Cord

Bespoke My Cord

by Tania at Boab Woman
Personal Details
Name*

First NameLast Name
Address*

Street Address

additional address information here

City/SuburbState

Post Code
Phone Number*

Area CodePhone Number
Email*
example@example.com
Partner's name and number (or other person I might communicate with).
Estimated date of Birth*

DayMonthYear
Or birth date.
Placenta collection & order delivery*
One pick up and delivery fee for multiple services.
Address for collection/delivery if different to above.
eg Home or RDH
Bespoke Cord Keepsake Details
You'll recieve your cord crafted heartfully into a framed or open hanging with elements of your desire.

Your cord will be sprayed in a clear coating to assist in the protection from the elements.

Your selections provide a guide for me to work with while I feel into your story and follow it's expressive lead.

No two placentae are the same; working with intuition, making hues and using different pigments will always give unique colour, density and style results therefore your cord art will be one of a kind.
These optional selections will provide us with a starting point.
Wall Art

White Shadow FrameOpen hanging
Check all which resonate with you and are suitable to include if your cord calls for it. If there are conditions to your selections, please add details in the box below.

Western Astrology / Star SignsVedic Astrology / Star SignsBirth Month GemsNature / Plants / WoodNature / Minerals (Rocks)Religion (specify below)Glitter /SequinsSymbolsWiccaFairiesNatural fibres and embellishments only pleaseSynthetic fibres and embellishments okCultural heritage (specify below)
Details to add for your selections above.
Special Insights

Share anything you feel is significant or memorable to you in your pregnancy or birth. They may not be significant to anyone except you. Anything which may assist in guiding your pieces.
Eg. colours, gemstones, fabrics, symbols, season, number of siblings, etc.
Complementary phone consultation

Yes please I have more to shareNo thanks, I've added everything here
Bloodborne Pathogen Declaration*

I have no bloodborne pathogens. eg. HCV, HBV, HIV etc.I have a bloodborne pathogen and will disclose below to discuss.
Details of bloodborne pathogen.
Placenta Storage Declaration*

I have read and understand the placenta storage requirements and will adhere to them if I intend on consuming my placenta. (Your cord can be collected without the placenta.)
Cost: $220

Upon submission of this from you will be emailed an invoice. Once payment is received your booking will be confirmed. Please contact Tania at Boab Woman on 0428030281, or boabbirth@gmail.com for any further questions.
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Bespoke My Cord

Personal Details

Bespoke Cord Keepsake Details

These optional selections will provide us with a starting point.

Special Insights