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Another high-tech option is setting up a live video feed on a computer. If you have a computer and a web camera, and there is one available in out of town location, it would be fun if out of town friends and family could gather together while local shower is being held. They could either hold a simultaneous shower (similar to videotape shower) or send their gifts to local shower and be "present" for opening. If games are going to be played, any handouts should be sent to out of town guests, so that they can "participate", as well. Perhaps they could even serve same food.
Friends and family are so important in life of a woman expecting a baby. Providing an opportunity for them to be present in some way for her shower is probably best gift that you could give her. If at all possible, find a way to involve those who can't be physically present.
Jill Manty is a stay at home and co-owner of www.delightfulchild.com, an online business dedicated to providing information about baby showers, breastfeeding, and natural parenting.