Birth Stat Print
Starred items required. All other questions optional for personalization
Your Name
*
First Name
Last Name
Background photo
*
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Choose a style
*
Font color (subject to change based on what works with your picture, but we will do our best to make your preference work)
Black
White
Other
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Child’s name (this is the name that will appear at the top. You can use any combination of first, middle, and last, though we suggest first and middle for the best look)
*
Ex: Juniper Grace
Nickname
*
Ex: June, Bug.
Sex
*
Male
Female
Birth Date
*
/
Month
/
Day
Year
Date
Birth Time
*
Hour Minutes
AM
PM
AM/PM Option
Due Date
*
-
Month
-
Day
Year
Date
Birth Location
*
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Name of doctor, midwife, etc. that delivered baby
Ex: Dr. John Smith, Dr. Smith
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Next
Baby Stats
Weight
Pounds
Ounces
Length
*
Ex: 19.25 inches
Hair color (and general amount if desired)
Ex: Whispy, blonde hair
Eye Color
Ex: Dark blue
Baby looked like:
Mom
Dad
A perfect combination of both
Other
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Next
Birth Details
Only answer the ones you WANT included. If you’d rather leave it out, leave the question blank
Baby came
On his/her own
Through induction
Baby was delivered
Vaginally
By Cesarean section
Total labor time
Ex: 19 hrs
Length of hospital stay
EX: 24 hours, 3 days, 2 weeks
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Next
Choose 1 option to include
*
Name meaning
Who was at the hospital
Birth year baby statistic
Names of who was there for birth, and names of who visited at the hospital
Ex: dad for birth, grandma G and grandpa D visited after
Personal phrase
*
Ex. Our sunshine girl, Love you to the moon and back, Little rainbow baby
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Next
Almost Done!
Notes for seller, additional requests or info. (If you plan to order multiple physical prints for a single design, please specify here so we can better understand your order. Ie: If you are ordering 2 different birth prints, one for each kid, but are ordering 2 physical copies for kid #1, explain that here!)
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Address (only if you plan to order physical prints)
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Is this the only or last print you are ordering?
Yes, it’s the only print.
Yes, it’s my last print.
No, I have more prints to order
For multiple print orders, submit this form without payment, and choose the option on the thank you page to fill out your next form. When you have filled out ALL the forms you wish to order, choose the ‘yes it’s my last print’ option on the previous question, and follow instructions to pay for all your prints.
To pay for ALL of your print orders, be sure you filled out and submitted all of your forms first, and then continue to payment. Choose each print type you are ordering, a print option, and the quantity. Then make your payment. If your payment does not equal the amount of prints ordered, or we don’t receive a payment at all, you will be contacted via email to fix the issue, and your order will be put on hold until it’s resolved. So be SURE you enter the correct amount/type of prints.
Sign if you have carefully checked all answers and spelling, and understand that your print will arrive via email within 2-5 business days.
*
Products
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Birth Stat Print
$
25.00
Print Options
Quantity
Price
PDF Only
1
2
3
4
5
6
7
8
9
10
$
25.00
12”x16” (plus PDF)
1
2
3
4
5
6
7
8
9
10
$
36.00
18”x24” (plus PDF)
1
2
3
4
5
6
7
8
9
10
$
42.00
21”x28” (plus PDF)
1
2
3
4
5
6
7
8
9
10
$
50.00
Item subtotal:
$
0.00
Wedding Stat Print
$
25.00
Print Options
Quantity
Price
PDF Only
1
2
3
4
5
6
7
8
9
10
$
25.00
12”x16” (plus PDF)
1
2
3
4
5
6
7
8
9
10
$
36.00
18”x24” (plus PDF)
1
2
3
4
5
6
7
8
9
10
$
42.00
21”x28” (plus PDF)
1
2
3
4
5
6
7
8
9
10
$
50.00
Item subtotal:
$
0.00
In Loving Memory Stat Print
$
25.00
Print Options
Quantity
Price
PDF Only
1
2
3
4
5
6
7
8
9
10
$
25.00
12”x16” (plus PDF)
1
2
3
4
5
6
7
8
9
10
$
36.00
18”x24” (plus PDF)
1
2
3
4
5
6
7
8
9
10
$
42.00
21”x28” (plus PDF)
1
2
3
4
5
6
7
8
9
10
$
50.00
Item subtotal:
$
0.00
Baptism Stat Print
$
25.00
Print Options
Quantity
Price
PDF Only
1
2
3
4
5
6
7
8
9
10
$
25.00
12”x16” (plus PDF)
1
2
3
4
5
6
7
8
9
10
$
36.00
18”x24” (plus PDF)
1
2
3
4
5
6
7
8
9
10
$
42.00
21”x28” (plus PDF)
1
2
3
4
5
6
7
8
9
10
$
50.00
Item subtotal:
$
0.00
Mission Stat Print
$
25.00
Print Options
Quantity
Price
PDF Only
1
2
3
4
5
6
7
8
9
10
$
25.00
12”x16” (plus PDF)
1
2
3
4
5
6
7
8
9
10
$
36.00
18”x24” (plus PDF)
1
2
3
4
5
6
7
8
9
10
$
42.00
21”x28” (plus PDF)
1
2
3
4
5
6
7
8
9
10
$
50.00
Item subtotal:
$
0.00
Travel Stat Print
$
25.00
Print Options
Quantity
Price
PDF Only
1
2
3
4
5
6
7
8
9
10
$
25.00
12”x16” (plus PDF)
1
2
3
4
5
6
7
8
9
10
$
36.00
18”x24” (plus PDF)
1
2
3
4
5
6
7
8
9
10
$
42.00
21”x28” (plus PDF)
1
2
3
4
5
6
7
8
9
10
$
50.00
Item subtotal:
$
0.00
Graduation Stat Print
$
25.00
Print Options
Quantity
Price
PDF Only
1
2
3
4
5
6
7
8
9
10
$
25.00
12”x16” (plus PDF)
1
2
3
4
5
6
7
8
9
10
$
36.00
18”x24” (plus PDF)
1
2
3
4
5
6
7
8
9
10
$
42.00
21”x28” (plus PDF)
1
2
3
4
5
6
7
8
9
10
$
50.00
Item subtotal:
$
0.00
Milestone Stat Print
$
25.00
Print Options
Quantity
Price
PDF Only
1
2
3
4
5
6
7
8
9
10
$
25.00
12”x16” (plus PDF)
1
2
3
4
5
6
7
8
9
10
$
36.00
18”x24” (plus PDF)
1
2
3
4
5
6
7
8
9
10
$
42.00
21”x28” (plus PDF)
1
2
3
4
5
6
7
8
9
10
$
50.00
Item subtotal:
$
0.00
Payment Methods
Credit Card
Apple Pay
After submitting the form, you will be redirected to Apple Pay to complete the payment.
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