CREATE A NEW BAND
Step 1: Enter Your Information

Choose a theme for your band:
In honor of... In memory of... no theme, please



YOUR OWN INFORMATION
*required fields


First Name*   M I   Last Name*

 
 



THE CHILD'S INFORMATION

First Name*   M I   Last Name

 
 

Name as you would like it to appear on your band*

(20-character limit)




Date of Birth
 
 
City
 
 
State:
 
 
Gender
 
  Male       Female
 
Background pattern
 
  flowers (view swatch)      stripes (view swatch)
 
Child was born
 
  full term
  Prematurely
 



 
Your message
(will appear under band)
 
 
Would you like the total amount raised on behalf
of this child to be displayed?
yes     no
 
 
Please note:  When you create a bracelet, the child’s first name and any other information that you choose to provide concerning the child will be public and available to anyone who visits the site.  For further information, please visit our Privacy Policy.

 

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