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Please allow about 1 week for personalization. Optional entries are marked (opt), but the more
information provided, the more personalized and special this keepsake book will be.
Please select version of book:
This baby is a:
Baby's first name:
Nickname or name called (opt):
Baby's middle name (opt):
Baby's last name:
Baby's hometown: - City and State
(State is optional):
Complete name of Hospital or Place of Birth (opt)
Examples: Seton Medical Center or Austin Hospital or Home:
This baby was delivered by (opt):
Name of delivering Dr. or midwife - use what you call him/her (opt)
Examples: Dr. Wiseman or Miss Mary:
Baby's date of birth: (Month Day Year)
Time of birth - including am or pm (opt):
Weight at birth - be sure to specify pound and ounces (opt):
Length at birth (opt):
Dedication
Examples: With love from, or Welcome to the world:
Who this gift is from:
Date of dedication/gift (Month Day Year) (opt):
Names of 2 or more of the first visitors to see baby. List visitors' names as you
wish them to appear in the story. (Don't forget siblings.)
Examples: Grandma & Grandpa
Grandma & Grandpa Richards
Aunt Sally
Uncle David & cousin Sam
The Richards Family
Visitors #1:
Visitors #2:
Visitors #3:
Visitors #4:
Visitors #5:
First name of Mother:
First name of Father:
For Single Parent version, put only Monther or Father.
*.* Twin Information - for Twins Version Only *.*
Second baby is a:
Second Baby's first name:
Second Baby's Nickname or name called (opt):
Second Baby's middle name (opt):
Second Baby's last name:
Second Baby's date of birth: (Month Day Year)
Second Baby's Time of birth - including am or pm (opt):
Second Baby's Weight at birth - be sure to specificy pound and ounces (opt):
Second Baby's Length at birth (opt):
*.* More Information - for Adopted Version Only *.*
Date Child Came to Live with Parents (Month Day Year)
"The Perfect Date" works well if you don't know the exact date:
*.* More Information - for Single Parent Versions Only *.*
Parent's Last Name
Page 4 reads better with a last name
Please order personalized books separately from other items and
choose "Books Only" for shipping to receive Free Shipping on Books.
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