WAYCROSS JOURNAL-HERALDForm For Birth Announcement

$25 Publication Fee With Photo (No Charge Without Photo)

Boy or Girl (circle on)Baby’s Full Name__________________________________________________________________________Date Of Birth: Month_________________________Day__________________________Year_____________Place of Birth (Hospital)____________________________________________________________________Town____________________________________________________________________________________Parents’ Full Name: Mr. and Mrs._____________________________________________________________Where Live:_______________________________________________________________________________Weight of Baby____________________________length__________________________________________What Baby Will Be Called___________________________________________________________________Name of Brothers and Sisters, with ages______________________________________________________The Mother is the former Miss_______________________________________________________________ of_____________________________________________________________Maternal Grandparents_____________________________________________________________________ of_____________________________________________________________Paternal Grandparents_____________________________________________________________________ of_____________________________________________________________List only living great-grandparents___________________________________________________________Maternal_______________________________________from where_________________________________Paternal_______________________________________from where_________________________________

Please sign name and list best telephone number where you can be reached for further information._________________________________________________________________________________________

Thank You,Society Editor