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Full name, sex and date of birth of new baby and any nicknames: *
New baby's birth order and names of any siblings:
Name(s) of new baby's parent(s): *
Relationship of baby's parent(s) to you (e.g., family, friends, etc.): *
Parent/sibling qualities that you would like to acknowledge (e.g. devoted, nurturing, etc.):
List any other thoughts, facts, stories or memories you might wish to include in your gift of poetry:
Other people you would like to mention in poetry, if any (grandparents, siblings, etc.):
Your words of congratulations, prayers or good wishes for the child/family? *
Why is this baby special to you and how has this child's birth impacted you or your family?
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
City and State of baby's birth and location of birth (e.g., hospital, home, car, etc.):
"special words for special people"
