Is This A Gift? Select One It's for me - I will fill out all choices below It's a gift – I will skip all the choices below and leave blank

Will you need us to mail you an impression-taking kit for this keepsake? If you are a returning customer or are ordering a second keepsake using the same prints, you do not need a kit. Select One Send me a kit for this keepsake Do not send me a kit for this keepsake

Choose Your Font Select One Little Days Playtime Classic Sidewalk Chalk School House Curly Cute

Text for print will appear EXACTLY as typed, so use proper punctuation and capitalization! Fill-In the Child's Name (First or First and Middle Names Only Please):

Fill-In the Child's Birthdate (Month, Date, Year):

Fill-In the Child's Time of Birth (for example 6:45am):

Fill-In the Child's Weight at Birth (for example 7 lbs., 8 oz.):

Fill-In the Child's Length at Birth (for example 20 inches):

Choose Your Impression Color (This is the hand/foot print color) Select One Light Sunshine Bright Sunshine Light Pink Medium Pink Dark Pink Light Orange Dark Orange Spice Red Red Wagon Chocolate Light Purple Dark Purple Light Lavender Dark Lavender Light Ocean Dark Ocean Baby Blue Boy Blue Light Peapod Dark Peapod Light Mint Dark Mint Light Forest Dark Forest Blackbird

Choose Your Text Color Same as Impression Color (recommended) Light Sunshine Bright Sunshine Light Pink Medium Pink Dark Pink Light Orange Dark Orange Spice Red Red Wagon Chocolate Light Purple Dark Purple Light Lavender Dark Lavender Light Ocean Dark Ocean Baby Blue Boy Blue Light Peapod Dark Peapod Light Mint Dark Mint Light Forest Dark Forest Blackbird

Choose Your Ribbon Select One Natural Dot Pink Dot Pink & Brown Dot Pink Check Pink Satin Pink & Yellow Check Red Dot Red Check Yellow Dot Yellow Check Lime Green Dot Hunter Green Check Baby Blue Dot Ocean Check Royal Blue Dot Royal Blue Check Purple Dot Lavender Dot Orange Check Black and White Dot Black and White Check Black and Orange Check Lemon Lime Stripe Tangerine Stripe Pink Stripe Blue Stripe Brown Satin Red Sea Stripe Citrus Stripe Pink & Lime Stripe Cosmo Grosgrain Spring Picnic Grosgrain Watermelon Grosgrain Raspberry Stripe Grosgrain Beach Blanket Grosgrain Pink & Yellow Grosgrain Ocean & Brown Grosgrain Pastel Stripe Grosgrain Bubble Gum Stripe Grosgrain Lavender Stripe Grosgrain Candy Cane Grosgrain Oliver Twist Grosgrain Mash Grosgrain Hip Pinks Grosgrain Hip Blues Grosgrain Pink & Blue Stripe Grosgrain Royal Blue Grosgrain

Would you like to add polka dots or stripes to your print? Select One Add Polka Dots (+15.00) Add Stripes to the outside of the print (+15.00) No Polka Dots or Stripes Please

If you chose to add polka dots or stripes to your print, please choose three colors for the polka dots or stripes. We recommend that one of these colors is the same as the impression and/or text color:

If you are adding polka dots or stripes, please choose three coordinating colors for the dots or stripes. (We recommend that two of the colors be the same as your text and/or impression colors.) Dot or Stripe Color #1 Select One Light Sunshine Bright Sunshine Light Pink Medium Pink Dark Pink Light Orange Dark Orange Spice Red Red Wagon Chocolate Light Purple Dark Purple Light Lavender Dark Lavender Light Ocean Dark Ocean Baby Blue Boy Blue Light Peapod Dark Peapod Light Mint Dark Mint Light Forest Dark Forest Blackbird

Dot or Stripe Color #2 Select One Light Sunshine Bright Sunshine Light Pink Medium Pink Dark Pink Light Orange Dark Orange Spice Red Red Wagon Chocolate Light Purple Dark Purple Light Lavender Dark Lavender Light Ocean Dark Ocean Baby Blue Boy Blue Light Peapod Dark Peapod Light Mint Dark Mint Light Forest Dark Forest Blackbird

Dot or Stripe Color #3 Select One Light Sunshine Bright Sunshine Light Pink Medium Pink Dark Pink Light Orange Dark Orange Spice Red Red Wagon Chocolate Light Purple Dark Purple Light Lavender Dark Lavender Light Ocean Dark Ocean Baby Blue Boy Blue Light Peapod Dark Peapod Light Mint Dark Mint Light Forest Dark Forest Blackbird

Would you like to add an extra set of impressions to your print? (Birth Plaques come standard with one handprint and one footprint. Selecting this option would give you two handprints and two footprints as shown in the last picture on the far right of this page.) Yes (+15.00) No

Would you like to add any small icons to your print? Icons will be made in coordinating colors. Select One Add two small hearts to my print (+15.00) Add two small stars to my print (+15.00) Add two small crowns to my print (+15.00) Add two small flowers to my print (+15.00) Add two small roses to my print (+15.00) Add two small sailboats to my print (+15.00) Add a baseball theme to my print (+15.00) Add a basketball theme to my print (+15.00) Add a football theme to my print (+15.00) Add a princess theme to my print (+15.00) No Icons Please

Would you like to add an additional line of text to the back of your keepsake? Select One Yes (+10.00) No

If you chose to add an additional line of text to the back of your print, please type it in here:

Would you like to add an ornament to your order for only $20.00? Your child's name and the current year will be painted on the back. We will use similar colors and fonts that you've chosen above, unless otherwise noted in the notes section below. Select One Yes, please include one ornament (+20.00) Yes, please include two ornaments (+40.00) Yes, please include three ornaments (+60.00) Yes, please include four ornaments (+80.00) Yes, please include five ornaments (+100.00) No Ornaments Please

Number of Handprint Ornaments Select One Two Three Four Five

Number of Footprint Ornaments Select One Two Three Four Five

If you heard about us from a brochure at a retail store, we'd like to give that store credit! Please enter the retail Sales Code Number here:

Additional Notes: