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Custom Sibling Art
Form to create artwork for bereaved siblings
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* Indicates required question
Who is this art request for (Last name of family to receive art)?
*
Your answer
What is the name of the person who submitted sibling box form as well as the email associated?
Your answer
Would you like faces, or no faces painted (see example below)
*
Yes
No
If there is no picture of child who passed away would you like the child to be in a pink, blue, or neutral blanket/clothing
pink
blue
neutral
Other:
Clear selection
What age would you like your child represented as? (example: Our son was born 4 years ago and died at 1 month. In our photo we decided to have him as a 4 year old verses a baby. BUT someone else may want the child painted as a baby)
*
Your answer
Would you like a halo over the child/children who have passed away?
*
Yes
No
How many children will be painted? Please provide their names.
*
Your answer
Is there anything else you would like for us to know?
Your answer
Do we have permission to share your artwork on social media? (we would not use your name)
*
Yes
No
I understand that artwork takes an estimated 4+ weeks to be created, and each piece of art is uniquely created.
*
I agree
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