Form: The Messenger Births

Form: The Messenger Births

Birth announcement
(Please type or print neatly. Information may also be submitted by e-mail to dryder@ucmessenger.com. Items submitted only on the community news section of www.nwtntoday.com will not be published in The Messenger. Information 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_______
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____________________________
Date_____________________________

None

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