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1. Your name (Required.)

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2. What city do you live in?

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3. What is/ are your angel baby’s / babies name(s)? (Required.)

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4. What date do you consider your baby went to be with Jesus?

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5. How has Jesus met you in your grief and loss? (Required.)

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6. What message of encouragement can you offer another grieving mom? (Required.)

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7. Do you give us permission to share your story on social media and potentially name a product after your angel baby(ies)? (Required.)

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