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Synergy Baby Blueprint – Personalised Birth Details
Welcome to your Synergy Baby Blueprint.
This form collects the essential birth details needed to create your child’s personalised energetic blueprint — crafted with intention, emotional intelligence, and deep respect for their natural design.
Parent Details
Parents Name
*
Parents Email
*
Who is this blueprint for?
*
Who is this blueprint for?
A
my baby
B
A gift for someone else
Baby’s Birth Details
Baby’s Full Name
(This information is used to calculate the numerology parts of a chart, leave blank if you would prefer not to include it in your synergy blueprint)
Date of Birth
*
(This information is used for the Human Design and the Astrology parts of the chart)
Exact Time of Birth
*
(This information is used for the Human Design and the Astrology parts of the chart)
Place of Birth
*
(This information is used for the Human Design and the Astrology parts of the chart)
Gender
*
(for he/she reference)
Gender
A
male
B
female
What has felt the most challenging so far? (sleep, feeding, emotions, routines)
(optional)
Optional Personalisation
Would you like to include a personalised message in the final blueprint?
*
Would you like to include a personalised message in the final blueprint?
A
yes
B
no
Write your message here
Tailor Your Blueprint To Fit You
Is there anything that you've noticed about your baby's personality?
(optional, feel free to leave blank)
What do you wish you understood better about your baby?
(optional, feel free to leave blank)
I understand this is a personalized digital product and delivery will take 24 - 72 hours
*
I understand this is a personalized digital product and delivery will take 24 - 72 hours
yes
no
Thank you for trusting me with this sacred work.
Your Synergy Baby Blueprint will be crafted with intention, emotional intelligence, and deep respect for your child’s natural design.
Submit
