Royal Hospital For Women Foundation : Baby Stars Confirmation

YOUR BABY STAR DETAILS

Fill in the details of each Baby Star you would like to purchase

Number of Stars *

Is /was your baby in The Royal's Newborn Intensive Care Unit (NICU) *

PLEASE ENTER THE DETAILS YOU WOULD LIKE ON THE STAR(S) BELOW.

IF YOU ARE ORDERING ONE STAR FOR ONE BABY, YOU ONLY NEED TO COMPLETE THE FIRST LINE OF FIELDS BELOW.

Baby's Name *

Gender *

Date of Birth *

Star Colour *

Baby's Name

Gender

Date of Birth

Star 2 Colour

Baby's Name

Gender

Date of Birth

Star 3 Colour