Form: The Messenger Births

Birth announcement
(Please type. Must be submitted no more than three months after the child’s birth.)
The Messenger congratulates…
Mr. and Mrs. __________________________________________________
of___________________________________________________________
on the birth of a son________ daughter________
name_________________________________________________________
time/date______________________________________________________
hospital ______________________________________________________
weight _______pounds_______ounces
length______________
brothers/sisters__________________________________age_______
__________________________________age_______
__________________________________age_______
__________________________________age_______
__________________________________age_______
grandparents___________________________________of______________
___________________________________of______________
___________________________________of______________
___________________________________of______________
great-grandparents______________________________of______________
______________________________of______________
______________________________of______________
______________________________of______________
______________________________of______________
mother is the former_____________________________of______________

Submitted by_________________________daytime phone______________
If mother and father of child are not married this form must be signed by both parents and notarized. A notary is available at The Messenger for this purpose.
Father___________________________ Mother_____________________________
Date____________________________ Date_______________________________

Notary____________________________

None