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Well to me it is rather posh, very elegant, and a bit old-fashioned. The first thing I think of is an older lady, very upright and elegant and proper. I think that parents giving this name to their daughter would most likely honoring a relative. I think Pearl might be very sweet on a little girl though perhaps a bit heavy. Pearlie would make a cute nickname in that case and might lighten the name a bit.

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I personally like Pearl better as a middle name, it's one of my favorites: Amy Pearl, Amelia Pearl, Jocelyn Pearl, Julia Pearl, Lydia Pearl. WDYT?

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Josh Groban - "Awake" and "Weeping"!