Print Prescription Form
 
 
 

Click the "Browse" button below and select a JPEG image of your baby from your local hard drive. Only JPEG images are accepted. For best results - choose an image that is between 300 and 400 pixels wide or tall at 72 DPI (images too large will be rejected - MAX FILE SIZE = 300K).

If you are having problems uploading an image, please email it to us at info@storkradio.com - just give us all the appropriate info and we will place it on the site for you.

 
 Add A New Baby Picture
Image to Upload
Baby's First Name
Baby's Middle Name
Baby's Last Name
Birth Date    
It's a? Boy   Girl
 
 Optional Information
Mother's Name
Father's Name
Birth Weight
Birth Length
City
State / Province
Country
Comments
     
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