Birth Announcement

Birth Announcement Request

This form can be used to submit a birth announcement request for publication in the Canby Herald, Molalla Pioneer and/or Wilsonville Spokesman newspapers.

IMPORTANT INFORMATION Please note: Each submittal must have a contact name and telephone number where we can verify the information before publication. If we are unable to verify the information we will be unable to publish the information.

Father's Name: 
Mother's Name:

Parents Current residence:

Where Father is from Originally:

Where Mother is from Originally:

Baby's Full Name: 
   Date of birth:  
             Sex Male Female
          Length: 
          Weight: 
          Time of Birth:

Name of hospital where the baby was born.

What are the names and ages of any brothers and sisters?

Is this your first child? Yes No

What are the names of the grandparents and where do they live?

Great-grandparents - names and towns.

This form can also be printed and mailed to the Canby Herald, P.O. Box 1108, Canby, Oregon 97013.
It is the responsibility of the contributor to ensure that all information is correct - spellings, dates, etc.
Someone from our office will be calling to verify this submission.

Please provide a name and telephone number of a person we can contact for verification and/or questions regarding this announcement.
REMEMBER THIS IS A REQUIRED FIELD AND MUST BE FILLED IN FOR PUBLICATION.
Contact Name:
Telephone number where contact can be reached: