Surrogate Story:

Please enter the personalization data below. We need this information to personalize your book.

Name of purchaser:
Purchaser’s e-mail:
(in case we need to contact you when preparing your personal story)
Child's name:
Child's gender:
Child's birthday:
Parent's first names:  
Are you married?:
Names of siblings:
(if you would like to include them in your story -- siblings should be living in your home at time of birth)
Where parent's lived before child arrived:
Be creative! You can use your city or just a location (beach, city, etc.).

Name of Surrogate:
(if you would like it in the story)
Name of Physician:
(if you would like it in the story)

Please enter any specific information you would like included (i.e. 1 parent, twins, older child, same sex parents)

How did you hear about us?:
If you would like to customize your illustrations, please fill out the following information:
Child's nationality:
Child's hair color:
Mother's nationality:
Father's nationality:
Mother's hair color:
Father's hair color:
Surrogate's nationality:
Surrogate's hair color:
 

My Creations
1 Cedar Trail
Ogden Dunes, IN 46368

Email: mycreations@mycreationsbooks.com
Website: www.mycreationsbooks.com