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Birth Announcment Form

The Benton Courier is unable to print birth announcements of unwed parents unless both parents come in with identification and fill out the announcement in person. We apologize for any inconvience this may cause. Deadline is 9 a.m. Monday.
BABY INFORMATION

Gender (Boy or Girl) Male: Female:

Name of Baby:

Parents' names:

City:

Place of birth:

Date of birth:

Pounds:

Ounces:

Length:

Grandparents:

City:

Great-grandparents:

OTHER FAMILY MEMBERS

Siblings:

Age:

Contact Info               

Name of contact:

Contact's email:

Phone:


Security Code:

The Benton Courier is unable to print birth announcements of unwed parents unless both parents come in with identification and fill out the announcement in person. We apologize for any inconvience this may cause.