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