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Hi,
Personally i really do not like this name - it is way to trendy at the moment, and it is unattractive sounding to me.

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Poss middle names

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Sienna Rose
Sienna Louise
Sienna Maude
Sienna Elizabeth
Sienna Honey
Sienna Jean/Jane/June
Sienna Primrose
Sienna Elise
Sienna Evangeline
Sienna Marguerite
Sienna Megan
Sienna Juliet
Sienna Belle
Sienna Isabelle
Sienna Jade
Sienna Xanthe
Sienna Claire
Sienna May

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nope cant think of any more

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Love Clara