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Birth Announcement
PARENTS OF BABY:
Father's name:
*
Mother's name:
*
Mother's maiden name:
*
City where they live:
*
If parent is a former Kenoshan, which one?
NEW BABY:
Name of child:
*
Gender of child:
*
Male
Female
Date of Birth (MM/DD/YYYY):
*
+
Place of Birth:
*
Aurora Medical Center, Kenosha
Kenosha Medical Center, Kenosha
St. Catherine's Hospital, Kenosha
Out of town
SUBMITTED BY:
Name:
*
Phone number:
*
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