Nominate a NICU Family 
Complete this quick form to nominate a NICU family to receive "Me, You, and the NICU" - These families will be given a book as gifted books are purchased on the site. 
To purchase "Me, You, and the NICU" to gift to a NICU family, go to www.paigebautz.com 
Contact Paige with questions at bautzpaige@gmail.com
Sign in to Google to save your progress. Learn more
Email *
Write a small note for the NICU family and your email for the nominated family to potentially reach out *
The NICU family's contact information and their social media info so Paige can connect  *
How do you know the NICU family?  *
Where is this family located? If possible, add their address  *
If known, what gestation was the baby born at?  *
Please supply family's name and the parent / NICU baby's name  *
Any other information author Paige Bautz should be aware of?  *
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy