The Derby Weekly Informer Birth Announcement Form

Baby's name:

Date of birth: Time of birth:

Place of birth:

Weight: Length:

Parent's Names:

City/State:

Siblings at home:

Grandparents' names:

Grandparents' names:

Great-grandparents' names:

Great-grandparents' names:

ADDITIONAL INFORMATION

Contact person's name: and telephone number:

To send a photo, send an email to: informer@derbyinformer.com and attach the photo to it. Please use your name as the subject of the email.