BABY SPIRIT - Cremation Planning Form

Baby Spirit Foundation Terms & Conditions:

Read the document below completely (Blue Terms Link). If agreed upon, sign to continue using Baby Spirit for your cremation service.
I agree to all of the terms & conditions described in the document.

Powered by Jotform SignClear

Vital Information - Baby Information

This information is used for obtaining permits for cremation ONLY. Please fill in as much as possible & to the best of your ability.
Baby Name*

First NameLast Name
Baby Sex*

MaleFemaleUnknown
Baby Social Security #
Baby Date of Death

MonthDayYear
Baby Date of Birth

MonthDayYear

Vital Information - Mother Information

This information is used for obtaining permits for cremation ONLY. Please fill in as much as possible & to the best of your ability.
Mother Name*

First NameLast Name
Mother Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Mother City of Birth*
Mother Date of Birth*

MonthDayYear
Date
Mother Social Security #*
Mother Maiden Name (If applicable)

Vital Information - Father/Parent 2 Information

This information is used for obtaining permits for cremation ONLY. Please fill in as much as possible & to the best of your ability.
Is there a father or 2nd parent involved?*

YesNo
Parent 2 Name

First NameLast Name
Parent 2 Email
Parent 2 Phone #
Parent 2 Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent 2 City of Birth
Parent 2 Date of Birth

MonthDayYear
Parent 2 Social Security #

Cremation Jewelry?

We can place a small amount of your loved one's remains in each keepsake. This is an optional choice for your family.
Cross Necklace
$29.99 Each
Heart Charm Pendant
$29.99 Each
Rose Heart Necklace
$44.99 Each
Rose Gold Clover Pendant
$34.99 Each
Stainless Steel Cuff
$29.99 Each
Silver Medallion
$34.99 Each
Jewelry Selections $
Jewelry Selection (Internal)
Would you care to donate?

We appreciate your consideration & anything you can give ❤️
The Baby Spirit Foundation is always free to help families in their time of need.

Every family we help costs our foundation $1,200 in donations from our generous sponsors.

If you are able... we'd appreciate anything you feel comfortable giving. Every dollar goes towards helping more & more families that have gone through such a tragic loss.
Please enter the amount you'd like to donate:

prevnext( X )
USD