Birth Announcement

BIRTH ANNOUNCEMENT
Please read the following instructions carefully before submitting.
Submissions must be received no more than 60 days after child's arrival.

Jewish News welcomes information about the personal and family milestones of our readers. Please complete this form and click the "Submit" button at the bottom. You will receive a confirming copy of your submission via e-mail the next business day. Information must be submitted by a parent or legal guardian. Also, please note that changes will be made to announcements only if a factual or spelling error is made, so please proofread forms carefully, as the information will appear as you submit it.

Due to space limitations, we cannot print information beyond what is requested below. All milestone news is printed on the basis of newsworthiness, timeliness and space availability. Milestones are posted online at jewishaz.com.

Fields marked with a * are required.

Page 1
First/Middle/Last Name of Child *
Child is a *	Girl Boy
Date of Birth *
For multiple births (twins, triplets, etc.), provide First/Middle/Last Names and Genders for each additional child
Name of Mother *
Name of Father *
Street (Will not be printed)
City
State
Zip
SIBLINGS (Names and Ages)
GRANDPARENTS
Grandmother 1 First/Last Name, City/State
Check if Grandmother 1	Divorced Deceased
Grandfather 1 First/Last Name, City/State
Check if Grandfather 1	Divorced Deceased
Grandmother 2 First/Last Name, City/State
Check if Grandmother 2	Divorced Deceased
Grandfather 2 First/Last Name, City/State
Check if Grandfather 2	Divorced Deceased

Page 2
GREAT-GRANDPARENTS
Great-Grandmother 1 First/Last Name, City/State
Check if	Deceased
Great-Grandfather 1 First/Last Name, City/State
Check if Great-Grandfather 1	Deceased
Great-Grandmother 2 First/Last Name, City/State
Check if Great-Grandmother 2	Deceased
Great-Grandfather 2 First/Last Name, City/State
Check if Great-Grandfather 2	Deceased
Great-Grandmother 3 First/Last Name, City/State
Check if Great-Grandmother 3	Deceased
Great-Grandfather 3 First/Last Name, City/State
Check if Great-Grandfather 3	Deceased
Great-Grandmother 4 First/Last Name, City/State
Check if Great-Grandmother 4	Deceased
Great-Grandfather 4 First/Last Name, City/State
Check if Great-Grandfather 4	Deceased

First/Middle/Last Name of Child *
Child is a *
Date of Birth *
For multiple births (twins, triplets, etc.), provide First/Middle/Last Names and Genders for each additional child
Name of Mother *
Name of Father *
Street (Will not be printed)
City
State
Zip
SIBLINGS (Names and Ages)

Grandmother 1 First/Last Name, City/State
Check if Grandmother 1
Grandfather 1 First/Last Name, City/State
Check if Grandfather 1
Grandmother 2 First/Last Name, City/State
Check if Grandmother 2
Grandfather 2 First/Last Name, City/State
Check if Grandfather 2

Great-Grandmother 1 First/Last Name, City/State
Check if
Great-Grandfather 1 First/Last Name, City/State
Check if Great-Grandfather 1
Great-Grandmother 2 First/Last Name, City/State
Check if Great-Grandmother 2
Great-Grandfather 2 First/Last Name, City/State
Check if Great-Grandfather 2
Great-Grandmother 3 First/Last Name, City/State
Check if Great-Grandmother 3
Great-Grandfather 3 First/Last Name, City/State
Check if Great-Grandfather 3
Great-Grandmother 4 First/Last Name, City/State
Check if Great-Grandmother 4
Great-Grandfather 4 First/Last Name, City/State
Check if Great-Grandfather 4
Submitted by (Name) *
Submitter e-mail *
Phone *

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