Birth Announcement

Thu, 08/22/2013 - 5:36pm admin

Submit a birth announcement online.

Some submissions require payment. You will be notified after receipt of your submission.

Additional Options:
• Include a Photo
• Up to 75 words of additional information

Publication *

Dodge County Independent

Please select a publication for your announcement.

Parents' Information

This information is not used for publication

Mother's Name *

Mother's City, State of residence *

Father's Name

Father's City, State of residence

Baby's Information

Baby's Name *

Birthdate *

Month

Day

Year

Place of Birth

Baby's Length

Baby's Weight

Gender

Boy

Girl

Relations

Sibling Names

Maternal Grandparents' Names

Maternal Grandparents' City/State of residence

Maternal Great-Grandparents' Names

Paternal Grandparents' Names

Paternal Grandparents' City/State of residence

Paternal Great-Grandparents' Names

Photo Submission

Photo Submission Type

None/No Photo Available

Mailing to our office

Dropping off at our office

Uploading with this form

Upload Photo

Additional Information

Additional Information: (Up to 75 words)

Contact Information

Your Name *

Your Phone *

Your Email *

Birth Announcement

Dodge County Independent

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