Potty Book Personalization Form

Step 1: Fill out this form then click submit button


What would you like the title to be? [Child] Goes Potty! [Child] Goes To The Bathroom! I Can Go Potty? Or a custom title? Please type your custom title

What name should be used for the child in the story?

Is the child a boy or girl?

What word should be used for the male adult (i.e. Daddy, Dad, Pop, etc)? If there is no male adult in the story, please type “none” in the box to the right.

What word should be used for the female adult (i.e. Mommy, Mom, Moma, etc)? If there is no female adult in the story, please type “none” in the box to the right.

What word do you use for the toilet? (Examples: potty, toilet, etc)

What word(s) do you use for urination? (Examples: pee-pee, tinkle, etc)

What word(s) do you use for bowel movements? (Examples: poo-poo, poo, doodie, etc)

Would you like to omit the following pages? Page 12 – “When [child] is done (s)he wipes with toilet paper,” Page 13 – “and puts it in the potty.” For some families with boys, the parents choose not to include the pages that instruct the child to wipe with toilet paper.

Corresponding order information:

What is the name of the person ordering the book?

What is the “ship to” address? (This information will help us match your personalization form to your order.)

What would you like the dedication to say? (Sample dedication: Dear Hailey, You’re a Big Girl now! Love, Mommy and Daddy (August, 2006) For the best result, please limit the dedication to approximately 20 words or 100 characters. (Please see our sample books for ideas.)

Select the type of book you want.

Please enter email address