Blessing Form (loved one) — Earth Dream Media

Tell us a little bit about your loved one.

First Name

Last Name

Age and gender

What is your relation to them?

Their Phone #

(###)

###

####

Their Email

Tell us a quick overview of your loved one's story.

Example: "Dad grew up in a small town in Kansas. He served in the military in the 1980s..."

Would you like to include photos in the film?

Ken Burns style photos + $350

Yes

Do you have any special requests?

Example 1: "Mom tells the most beautiful story of when she first met dad" Example 2: "Dad has such a wonderful laugh, we really want to capture it" Example 3: "Grandma had alcoholic parents and accepted Jesus at 13. I just really want to capture her perspective on life in regard to her faith."

Does your loved one have any medical conditions to be considerate of?

What are some of their favorite things?

If they love a particular car, gardening, favorite movies, etc, we would research the topic so we can engage with them in easy conversation to make it a great experience for them.

If you have any questions, type them below and we'll talk about them over the phone!

(Book your appointment below)

Please schedule your phone call below. This is an essential part of helping us provide the best product and experience possible.