Just for You Order Form

Just For You Order Form Questionnaire

About Your Child:

1. Child’s Name:
2. Age:
3. Birthday:
4. Hair Color:
5. Eye Color:

Please feel free to include a picture of your child to be used in the story.

1. What is an important and special event that occurred in your child’s life? 

1. Favorite Activities: (please check all that apply)
   1. Sports

i.      Baseball

ii.      Basketball

iii.      Football

iv.      Hockey

v.      Soccer

vi.      Other (please list):

1. Dancing

i.      Ballet

ii.      Tap

iii.      Jazz

iv.      Other (please list):

1. Writing
2. Reading
3. Art

i.      Drawing

ii.      Painting

iii.      Sculpting

iv.      Other (please list):

1. Movies
2. Other (please list):

1. If your child could choose a theme for their bedroom, what would it be?

1. What setting would you like the story to take place? (example: underwater, in a castle, on a pirate ship, etc.)

1. Do you have any pets that your child would like to see in the story with them? If so please list their names and type of pet.

1. Please list the name and gender of one or two close friends of your child if you would like them included in the story.

1. What is one thing your child loves more than anything else?

1. What is your child’s favorite color?

1. Would you like this story to discuss a holiday or special occasion? If so what holiday or occasion?

1. If your child is in school please list their favorite subject:

Parents Section:

If there are any other additional details you would like included in the story please list them below. If you would like more than one image of your child included please send them along. The story will be written to include the images as part of the plot.

Mailing address: