FunKidsCD Entertainment - Original Personalized Songs for Your Child

Questionnaire & Order Form

Feel free to provide as much or little information as you would like. Note
that the more information you provide, the more we have to work with
when creating your child’s unique personalized song. However, we do
not guarantee that we will use every piece of information, and in our
experience, too much information in a song could be overwhelming to
your child. Please indicate in bold any information that you consider to be
more important to you or your child so that we can make extra effort to
include that in the song.

Part 1: Questionnaire

* Required Field

**A note about the questionnaire and
the information you provide:
FunKidsCD Entertainment is
requesting the information for the
sole purpose of creating a unique
customized song for your child about
your child’s life. All information is
strictly confidential and will not be
given out to anyone nor used for any
purpose other than the one stated
above.**

Your child's name:

Your child's nickname:

Gender:

Birthday:

Reason for song: (i.e., birthday,
graduation, holiday, good grades, just
because, etc.):

Child’s favorites: (e.g., color, food,
movie, phrase, TV show, game,
cartoon, clothing, recording artist,
song, subject in school, actor, sport,
pets, game, toy, etc.) :

Would you like to include other people
in your child’s life (e.g., siblings,
friends, teachers, etc)? If so, please
provide their names and relationship to
your child:

What does your child want to be when
he/she grows up?

Are there any recent events that are
significant to your child?

Is there any other information you'd
like us to include in your child's song?

Part 2: Order Form

* Required Field