Child's name Child's date of birth Child's time of birth Child's place of birth Is there anything particular you would like to know about this child? [Form expands for any length so write as much as you like.] Would you like the report email or via regular mail? [form expands] Each report is absolutely unique and hand done by Nancy R. Fenn. Do you understand that the report will take 1 or 2 weeks for delivery? yes,that's OK Do you have special instructions or anything special you want Nancy to know? [form expands]