Zionsville Times Sentinel

September 19, 2006

Birth Announcement Form

CNHI

To ensure that a complete announcement of your child's birth appears in an upcoming edition of The Times Sentinel, please complete and submit this form. A quality photo of your newborn may accompany this form. Announcements will be taken no more than three months after the birth date.

Parental Information:

MOTHER

Full Name: *required field

Mother's Maiden Name:*required field

FATHER

Full Name: * required field

Couples Address: *required field

BABY'S INFORMATION:
Full Name: *required field
Sex:*required field Male Female
Date of Birth: *required field
Place of Birth:*required field
Length:*required field Weight: *required field

Brother(s) : Name and Ages

Maternal Grandparents:
(include town and state of residency)

Maternal Great-Grandparents:
(include town and state of residency)

Sister(s): Name and Ages

Paternal Grandparents:
(include town and state of residency)

Paternal Great-Grandparents:
(include town and state of residency)

Other Interesting Facts:

Information Submitted By: *required field
(name, relationship, phone number)

Photo submitted: Yes No
I will email photo.
I will drop off photo at The Times Sentinel.

How many copies of the paper would you like?
(reserved papers must be paid for and picked up at The Times Sentinel office within 10 days)

To submit photos, send email to: Newsroom
Identify the subjects in the photograph in the Subject line of the email.