THE DAILY JEFFERSON COUNTY UNION — BIRTH ANNOUNCEMENT FORM

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Birth Announcements

You can supply the Daily Union with the information regarding a birth announcement by filling out the
online form below, or by filling out a paper form and mailing it to the Daily Union at the address above.
Birth Announcements for printing can be downloaded here.

BIRTH ANNOUNCEMENT
Daily Jefferson County Union
28 W. Milwaukee Ave., Fort Atkinson, WI 53538
Phone: (920) 563-5553 • Fax (920) 563-2329 • Email: mwagner@dailyunion.com

GENERAL INFORMATION
Use complete names (no nicknames). Do not abbreviate names, states, etc. Incomplete and/or illegible information will be omitted. The Daily Union reserves the right to edit any submitted information.
A birth notice will be printed at no charge.

Baby's name
Parents' City
Date of Birth
Hospital/Town

Siblings/Age

Maternal Grandparents/Town

Paternal Grandparents/Town

Maternal Great-grandparents/Town

Paternal Great-grandparents/Town

Contact Information

Your name
Phone number
Address

Father's name
Mother's name
Baby's birth weight
Baby's birth length