Personalized Children's Book-The First Adventures of Incredible You

Please select the dedication you would like to provide to the recipient of the book from the drop down menu below (this dedication will be included on a title page made especially for the child):

Please list the name(s) of all of the people the book is from:

(e.g., Aunt Liz and Uncle Todd)

Please select the year this book will be given to the child:

Please select the child's birth date:

Please enter the child's name:

Enter full name:	(use first, middle and last name)
Enter first name or nickname:	(whichever is used most often)

Please choose the child's names for his/her parents/guardians from the list below:

a.) Parent/Guardian #1
Mom
Mommy
Mama
Mother
None
Other

b.) Parent/Guardian #2
Dad
Daddy
Papa
Father
None
Other

* Please note that these are the names that will be used throughout the book for these special people

Please fill in the blank with the local park the child is likely to visit near his or her home:

Use Default Options

a) will be one of your favorite places. It's where you'll zoom down the slide and run many races…

(e.g., Outdoor local park with slides and swings)

Please fill in the blank below with the first name of one sibling/cousin/friend/caregiver (which may include a parent/guardian) that this child is likely to play with at the park:

b) ...and play with and your park friends…

Please choose a large zoo (e.g., one with lions, monkeys, etc.) the child is likely to visit from the drop down menu below:

Use Default Option

- OR -

Unlisted Zoo:
You'll take trips to and find many surprises…

(must be a zoo with lions, monkeys, etc.)

Please fill in the blank below with the one pet/sibling/cousin/friend this child is likely to play with in the rain:

Use Default Option

You and jumping in puddles….

Please fill in the blank below with the name of one relative or friend of the family who particularly enjoys music (avoid using Parent/Guardian #1 if at all possible):

Use Default Option

The sound of 's music...

(e.g., Aunt Abby NOT Aunt Abby's)

Please fill in the blank below with a beach location that the child's family likes to visit:

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On the shores of , the warm sand…

(e.g., Lake Michigan)

Please fill in the blank below with the full name of the street (e.g. Main Street, NOT 1224 Main Street) where the child is likely to learn to ride a bike or the street where he/she resides:

Use Default Options

a) You'll fly down squealing with delight.

(e.g., Main Street)

Please fill in the blank below with the name of one parent/relative or friend of the family who will likely teach the child to ride a bike:

b) …but will give a scare.

(e.g., Dad)

Please fill in the blank below with one of the child's family's favorite sports teams (any TEAM sport):

Use Default Options

a) You'll love your first game…

Note: Use the shortest name possible (e.g., Eagles not Philadelphia Eagles)

Please fill in the blank below with the name of the one parent/relative or friend of the family who is most likely to take this child to such a game:

b) will cheer with you…

(e.g., Uncle Tom)

Please fill in the first blank below with (a) the name of one relative/friend of the family who makes a special dish that the family loves. Then, fill in the second blank below with (b) the name of that special dish the family loves.

Use Default Options

's	will be such a treat!
(e.g., Mom -- NOT Mom's)	(e.g., lasagna)

Please fill in the blank below with the one adult relative or friend of the family with whom this child would stay up late gazing at the stars:

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You'll stay up late with gazing at the stars…

(e.g., Grandpa)

Please fill in the blank below with one sibling/relative with whom this child is likely to bathe:

Use Default Option

You'll splash with in a warm, bubbly tub…

Please fill in the blank with the name(s) of the one or two people who are most likely to put this child to bed:

Use Default Option

...when assure(s) you that everything's okay

(e.g., Mommy and Daddy)

Please double check the answers you have entered. This information will appear in the book exactly as you have entered it. Please check this box to certify that the above information is correct.

Yes