Keepsake Information Form All information will be treated as confidential.Information is only shared if approved by the applicant first. Keepsake Code ♡ * Name on keepsake * First & Middle, First & Last, or just First Name Keepsake Style * Sunrise Daisy Blue Daisy Pink Daisy Sunrise Rainbow Blue Rainbow Peach Rainbow Classic Rainbow Birth Date MM DD YYYY Birth Weight Specify if pounds, kilograms, ounces, etc. Length At Birth Specify inches or centimeters Time of Birth Specify AM or PM Email * Where your keepsake will be sent Thank you!I am so excited to create this keepsake for your little one!Allow 72 hours for it to be sent to your email. ♡ creating a keepsake for your little one