Tell Us Your Story - Count the Kicks

We want to hear how Count the Kicks helped save your baby. Sharing your story is the best way to show expectant parents the importance of our life-saving campaign.

First and Last Name*
Name of Baby(s) That was Saved*
Email Address*
Phone Number
City
State
Tell Us Your Story*
Upload a Photo of Your Baby
Accepted file types: jpg, png, jpeg, heic, Max. file size: 512 MB.
*
- By checking this box, I authorize Healthy Birth Day, Inc. to use my photo and story on their social media platforms, websites, newsletters and public presentations. I allow Healthy Birth Day, Inc. to edit, alter or copy this information within reason, for educational purposes and for the promotion of the Count the Kicks campaign to expectant parents.