Home | Subscriptions | Classifieds | Submit News | Contact | Links | Jennings County Living
North Vernon Plain Dealer Sun | North Vernon, IN
"It Shines for All!"North Vernon, IndianaLocally Owned and Operated Since 1862
North Vernon, Indiana, weather forecast
weather sponsored by

CNA Survey Banner


Birth Form

Parents
Required
Phone
Required
Address
Required
Baby's name
Required
Date born
Required
Place of birth
Required
Baby's sex, weight and length
Required
Siblings (with ages)
Required
Paternal grandparents and addresses
Required
Maternal grandparents and addresses
Required
Paternal great-grandparents and addresses
Required
Maternal great-grandparents and addresses
Required
Are you submitting a photo?Yes
No
Upload Photo
Submitted by and phone number
Required
Email address of person submitting this form:
Required
Passcode:
Required
Anti-SPAM Passcode Click here to see a new mix of characters.
This is an anti-SPAM device. It is not case sensitive.
(Newspaper reserves the right to edit informatin submitted)
   


Advanced Search


Subscription Login
LOGIN | SUBSCRIBE




CouponsReports
Garlitch

© 2012 North Vernon Plain Dealer and Sun
PO Box 988, 528 East O&M Ave
North Vernon, IN 47265
Telephone 812.346.3973
All images on this site are property of the North Vernon Plain Dealer and Sun and may not be reproduced without consent of the publisher.

Software © 1998-2016 1up! Software, All Rights Reserved