Request a Prenatal/Celebration Bag for yourself or someone you know…

(Currently for Indiana Residents only)

We provide two different options for new/expecting moms.

For moms expecting a baby with Down syndrome, we have a prenatal bag that includes a book & gift for mom, and information for helpful organizations.

Once the baby has arrived, we’d love to send a Lucky Mama Celebration Bag full of gifts for both baby and mom. This can be delivered to the hospital or sent to a home address.

Mother's Name

First Name

Last Name

Ethnicity of mother

Father's Name

First Name

Last Name

Ethnicity of father

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

Type of Care Package

Date of Birth of baby with Down syndrome (if known)

Baby's gender

Name of baby (if known)

Ethnicity of baby

Birth Hospital:

I am (person requesting the package)

Name and contact number of person requesting care package (if not mom or dad)

I would like to receive a New Parent Packet and I give The Lucky Mama Project permission to share this form with Down Syndrome Indiana (DSI). DSI is a 501 (c)3 whose mission is to enhance the lives of individuals with Down Syndrome. Learn more about Down Syndrome Indiana at https://dsindiana.org (Indiana residents only)

I would like to be connected to a DSI mentor family...