Family + Friends Baby Tile Order Form

Please fill out this form only if you have participated in the Family + Friends Baby Tile Fundraising.  If you have not, then please go here to order your baby tile.  

Please provide your contact information below

Tile Package

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Baby Information for Tile


Baby's weight (optional):

Colour of Lettering

Please check one:

*If this is in memory, the following will appear on the tile:

"In memory of [baby's name]"


Second Language

Will you need your baby's name in a second language? Please follow these instructions.

Parent Information

Please provide contact information for the baby's parent(s) so they can be notified when their tile(s) are ready.

The parents' contact information is:

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