Please provide the following information to give us a better opportunity to serve you personally and properly. This information is ALWAYS kept confidential and we DO NOT participate in any information sharing. Thank you.

NAME:


ADDRESS:

PHONE(s):


EMAIL(s):

EXPECTED DUE DATE:

BABIES EXPECTED SEX:
Boy Girl We wish to have a surprise

THIS BABY WILL BE MY/OUR:
FIRST SECOND THIRD FOURTH+

AGES / SEXES OF OTHER CHILDREN IN HOUSEHOLD:

I am:
MARRIED DIVORCED LIVE IN PARTNER 
SINGLE PARENT OTHER

Are you planning to move during your pregnancy or soon after delivery?
Yes No

JUVENILE PRODUCTS OTHER THAN CLOTHES, WHICH YOU NEED:

Additional info about items you need:

At Munchkins, we do everything we can to ensure you receive the right seasons and sizes of clothing. We want you to receive the right amount of each size as well. Please indicate what clothing you have accumulated and the size (months) & seasons so we can better serve your baby clothing needs:

0-3 months

3-6 months

6-9 months

12 months


18 months


24 months


Munchkins can order just about any juvenile product on the market. Is there a brand you are really interested in?


From a scale of 1-5, where 1 is the number 1 priority and 5 is your lowest priority, please rate the following with regards to your future purchases of juvenile products:

Are you interested in purchasing gently used items for your family if they are run through all the Munchkins safety processes?: 
Yes No Not Sure

Additional Notes or Info: