The Emporia Gazette

February 10, 2012

• Headlines
• Sports
• Forums
• Weather
• Classifieds

• Help
• Log in
• Home

Submit a birth announcement

BIRTH/ADOPTION ANNOUNCEMENT FORM

Birth/Adoption Announcements are published at no charge on Wednesdays and Saturdays in The Emporia Gazette.

Deadlines:

To be published on Wednesday, the deadline is noon Monday.
To be published on Saturday, the deadline is noon Thursday.

Want to submit this form a different way?
Mail to: PO Drawer C Emporia, KS 66801
Bring to: 517 Merchant St., Emporia
Drop Box: Gazette collection box in front of the Water Dept., 522 Mechanic St., Emporia
Fax to: 620-342-8108

Choose one: Birth or Adoption

Baby Name:

Gender:

Parents' Name:(first, last)

Parents' address:

Parents' city:

Parents' zip code:

Place of Birth:

Date of Birth:

Names of baby's siblings, genders:

Grandparents names: (first and last name, town)

Great Grandparents names: (first and last name, town)

Form completed by:

Your Name:

Date:

Your telephone number:

Your email address:

Your message:

Advertisements

• © 2012 The Emporia Gazette. All rights reserved.
• Customer Service
• Contact Us
• Privacy
• Advertise with us
• Subscribe