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TRIVIA FOR TEENS:
Be smart. Win cash. Friday night!
Milestones Submission Forms
Anniversary
•
Birth
•
Engagement
•
Senior Birthday
•
Wedding
Birth Announcement
The Times
Congratulations on your new arrival. Please mail, e-mail or deliver information to: The Times, 110 W. Jefferson St., Ottawa, IL 61350 or
bernied@mywebtimes.com
. The form also may be faxed to 815-433-1639. If you have any questions, call Bernadine at 815-431-4076. Please print legibly.
*Please fill in all fields. If there is no information available, please type in 'NA'
Name of hospital and town:
Son/Daughter:
Son
Daughter
Name of child: (first, middle and last):
Date of birth:
Weight: pounds _ ounces Height (inches):
Parents:
Town family living in:
Siblings of baby (list names & ages):
Maternal grandparents and town:
Paternal grandparents and town:
Maternal great-grandparents and town:
Paternal great-grandparents and town:
Person submitting form:
Daytime phone number:
Your email address:
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