First Name:
Middle
Name (optional):
Last
Name:
Home town:
Length (inches):
Weight (pounds and ounces i.e. 6 pounds 3 ounces):
Time (include AM or PM):
Second
baby
Male
Female
First
Name:
Middle
Name (optional):
Last
Name:
Length (inches):
Weight
(lbs.):
Time (include AM or PM):
Information
for both babies
Mother's
Name:
Father's
Name:
Name
of Hospital :
Doctor
(Optional):
Visitor's
Names (list at leas
):
1.2.
3.4.
Dedication:
(i.e., from, with love from)
Person giving gift:
(i.e., Grandma and
Grandpa)
Date
of Birth:
Date
of gift (optional):
Non-Personalized
Dust Jacket $1.00