Logansport Indiana

Birth Form

April 8, 2010

Congratulations on your new addition! We know that new parents are extremely busy, but we do require that either the baby's mother or father submit this form to share the news. By submitting this form, you grant permission for Existential Media LLC to publish this information online at CassCountyOnline.com and in INfo:.

Parents: *

Enter the names of the baby's parents as you wish them to appear.

Email Address: *

We know you're busy, so if we've got a question, we'll contact you by e-mail. We'll also add you to our list to receive periodic e-mails about things happening in our community.

Mother's High School + Graduation Year:

Father's High School + Graduation Year:

City/State where parents reside: *

Date of Baby's Birth: *

Baby's Gender: *

Boy

Girl

Baby's Full Name: *

Maternal Grandparents:

List the names of the baby's mother's parents as you wish them to appear.

Maternal Grandparent's City/State:

The city and state where the baby's mother's parents live.

Paternal Grandparents:

List the names of the baby's father's parents as you wish them to appear.

Paternal Grandparent's City/State:

The city and state where the baby's father's parents live.

Tell Us More:

Anything else you would like to share?
You can also use this field if you'd like to list great-grandparents. If so, please include their city and state of residence.)

photo:

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