Birth Announcement Form

Courtesy titles are not used: women are referred to by first and last name. Example: Jane Doe or John and Jane Doe. If the last names of the child's parents are different, please bring a copy of father's driver's license endorsed "The Marshall Democrat-News has my permission to use my name in the birth announcement for (child's name)" to our office.

Parents' names:

Town and State:

Baby's name:
(boy/girl)

Birthdate and time:

Weight:

Length:

City/hospital where born:

Names and ages of brother(s) and/or sister(s):

Names and Addresses of baby's grandparents

Maternal:

Paternal:

Great-maternal:

Great-paternal:

Phone Number

Daytime phone number to be reached: