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Birth Announcement Submission Form

This form can be used to submit a birth announcement request for publication in the Canby Herald, Molalla Pioneer and/or Wilsonville Spokesman Newspapers.

IMPORTANT INFORMATION Please note: Each submittal must have a contact name and telephone number where we can verify the information before publication. If we are unable to verify the information we will be unable to publish the information.

Baby's Full Name:

Gender:

Boy: Girl:

Father's Name:

Mother's Name:

Where are the parents originally from?

Where do the parents live now?

Time of birth:

Date of birth:

mm/dd/yyyy

Baby's weight & length (lbs. oz., in.):

Hospital:

Is this your first child?

Yes: No:

Names & ages of brothers and sisters:

Grandparents:
First/ last names and towns

Great-grandparents:
First/ last names and towns

Also publish announcement in:

Molalla Pioneer: Canby Herald:

Contact Name:

Email Address:

Contact Phone:

Work Phone:

Please provide a name and number of someone that we can contact to verify this information and/or questions. PLEASE NOTE: THIS IS A REQUIRED FIELD AND MUST BE FILLED IN FOR PUBLICATION.

This form can also be printed and mailed to the Wilsonville Spokesman, 241 N. Grant St., Canby, OR 97013. It is the responsibility of the contributor to ensure that all information is correct - spellings, dates, etc. Someone from our office will be calling to verify this submission.