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Birth Announcement Submission Form

This form can be used to submit a birth announcement to the Woodburn Independent. Each submittal must have a contact name and telephone number where we can verify the information before publication. If we are unable to verify the information we will be unable to publish the announcement.

* Indicates required fields.

Baby's Full Name:

*

Gender:

Boy:      Girl: *

Father's Name:

*

Mother's Name:

*

Where are the parents originally from?

Where do the parents live now?

 *

Time of birth:

*

Date of birth:

* (mm/dd/yyyy)

Baby's weight (lbs. oz.):

*

Baby's length (in.):

*

Hospital:

*

Is this your first child?

Yes:      No:

Names & ages of brothers and sisters:

Grandparents:
First/ last names and towns

Great-grandparents:
First/ last names and towns

Also publish announcement in:

Molalla Pioneer:      Wilsonville Spokesman:

Contact Name:

*

Email Address:

Contact Phone:

*

Work Phone:

 
   
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