Page 1 of 1

Little Lamp Devotions Intake Form

Parent Information

Parent First Name

Parent Email Address

I promise to never give your data to others or spam you.

Would you like 3 free sample devotionals?

Would you like 3 free sample devotionals?
A
B

Child Personalization

Age Range

Age Range
A
B
C
D
E
F

Preferred Character Names

You can provide your child's name or nicknames, their favorite character names, or leave it blank I'll add one in.

Reading/Listening Style for your kiddo

Reading/Listening Style for your kiddo
A
B
C

Favorite Interests

Favorite Interests
A
B
C
D
E
F
G
H
I
J

What lessons do you want reinforced?

What lessons do you want reinforced?
A
B
C
D
E
F
G
H
I
J
K
L
M
N
O
P
Q
R
S
T
U
V
W
X
Y
Z

Preferred Bible Translation

Preferred Bible Translation
A
B
C
D
E
F
G
H
I
J

Any topics to avoid?

Would you consider paying $7/month for personalized family devotionals by email?

Would you consider paying $7/month for personalized family devotionals by email?
A
B
C

What would make this most useful for your family?