Anonymous The News and Tribune Thu Jul 14, 2011, 11:53 AM EDT
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Name of Parents
Residence
Baby's Name
Date of Birth
Weight
Length
Place of Birth
Gender
Name(s) of brothers (Include Ages)
Name(s) of sisters (Include Ages)
Name(s) of Grandparents
Name(s) of Great-Grandparents
Name of person submitting:
Phone Number:
*E-mail: (required and will only be used to confirm receipt):
If sending a photo, how will it be sent?
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