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Full name and age of person being baptized: *
Is this a female or a male? *
Your relationship to person being baptized: *
Would you like to include a spiritual or religious theme?
Would you like to include the parents' qualities (e.g. loving, kind, supportive, etc.):
List any other thoughts, facts, stories or memories you might wish to include in your gift of poetry for this person:
Other people you would like to include or acknowledge in your gift of poetry:
If for a child's baptism, how have this child's
birth and baptism impacted you?
Are there hopes and dreams expressed by the parents that you wish to include?
What makes this baptism special to you?
Additional comments, notes or instructions that you would like our writers to consider in creating your gift of poetry: *
Your relationship to
poetry recipient: *
Your full name: *
Your mailing address: *
Daytime phone number and best time to call: *
Evening phone number and best time to call: *
Special instructions or comments and date poem is needed: *
* Denotes required field.
Provide us with the requested information about yourself.
Then complete the poetry information request form below as you are able. Remember, the more detailed the information you provide, the more personal and unique the gift.
Your email address: *
* Denotes required field
"special words for special people"
