If you have a photo you would like published with this please click on link below and upload a .jpg format file only or email it to email@example.com separate from this form. Please remember to include your name and what picture is for.
Photo to submit
Baby's Full Name:*
Date of Birth:*
Maternal Grandparents and towns:
Paternal Grandparents and towns:
Maternal Great-Grandparents and towns:
Paternal Great-Grandparents and towns:
Brothers and sisters (give names and ages):
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