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I like River for a boy. It's both strong and rugged, but not too gruff. There's a soft calmness about it in addition to strength.

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Combos:
River James
River Jonathan
River William
River Leon
River Lucas
River Graham
River Gabriel
River Abram
River Brett
River Shane
River Sean
River Lucian
River Julian
River Adrian
River Daniel
River Charles
River Henry
River Matthias
River Wesley / Westley
River Zachary
River Bradley
River Dante
River Damian
River Samuel
River Isaac
River Jamison
River Jude
River Dominic

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This message was edited 5/9/2011, 9:15 PM

I love for both boy and girl, though my favorite is for a boy. I think it's awesome and totally usable.

It is such a handsome wonderful fabulous boy name!! I think it's 100000% usable, and I would consider using it!

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MN:
River Declan
River Harrison
River Jude
River Mason
River Lachlan
River Phoenix (i know, i know, but it sounds good!)

I love the name River for a boy. I like the combos:

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River Jude
River Nathaniel
River Elliott
River Eli
River Benjamin
River Tobias
River Paul
River Leo
River Gideon
River Daniel
River Seth
River Samuel
River Charlie
River Malachi
River Michael
River Maxwell
River John

Personally, I can't imagine River on a boy. Perhaps I'm being too close-minded, but it's always been a girl's name to me. The shows I watch have probably influenced this -- River Tam from Firefly and River Song from Doctor Who immediately come to mind, and they're both ladies.

I can only see River on a boy because of River Phoenix. I like it, even if it DOES remind me of dying from a drug overdose.

Shoot you? Why? It's a perfectly fine name. Well, I think it is here in the US anyway. I think it seems a little bit hipsterish, but not hippie like Cedar or goofy/celebby like Lake. It's on par with Sage. I'd use River, if it were my favorite. I think of it as unisex, but I prefer it for boys too.

I've never really been a fan and now all I think about is the female character from dr who

I think it's completely usable. It's a mainstream name I would say. It's not weird or out there at all. I think it's unisex but I definitely prefer it for a boy. I have pretty neutral feelings about it. It's not bad, it's not great.

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As for middle names, it's probably not a good idea to use another word name because it can get silly very easily. However, I have a soft spot for nature/word names for boys so I think it's doable (and it's what I'm drawn to at the moment).
Some of my suggestions:

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River Forest
River Björn/Bjorn (river bear)
River Keir
River Saul
River Siôr/Sior (prn. shore)
River Roman
River Indigo
River Tennyson
River Archer
River Sebastian
River Lucas
River Julius/Julian
River Pierre
River Emmanuel

I really like River. I can't picture it on a girl, and the majority of the times I've heard it used is on boys - I've never actually seen a River.

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I don't quite know why I like it so much, but I do. It's never been on a GP list, always on a usable list!

I like it (I also like it for a girl... IMO it's a good unisex name). It's a nice nature name that's not too out-there for a boy. It is one you have to be kind of careful with the last name pair -- anything even semi-nature-y as a last name is going to sound REALLY hippie with River. Of course, if you like that, then go for it.

I like River for a boy, and I don't think it's unusable.

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Combos:
River Aidan
River Ambrose
River Amos
River Augustus
River Beau
River Carlisle / Carlyle
River David
River Elliot / Elliott
River Hugo
River James
River Jonah
River Louis
River Lucas

This message was edited 5/8/2011, 6:55 AM