Epilepsy Research Donation – Modern Day Baby

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Do you want to fill out the clothing preference form?

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Parent's Name*

Child's name*

Instagram Handle

Email*

Gender*

Wardrobe colors your child will prefer:

Favourite color(s)

Color(s) to avoid

Prints and fabrics your child will NOT wear:

Clothing your child will NOT wear :

Style(s) your child will prefer:

Which style(s) describe your child the best:

Lastly, let us know a few details about your child and specific requests: