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WAYCROSS JOURNAL-HERALD Form 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
