Birth Announcement
Congratulations on Your New Baby!
To help you celebrate your new Staten Islander, we will announce your baby's
birth for free in S.I. Parent magazine and send you a COMPLIMENTARY
ONE YEAR SUBSCRIPTION ($25.00 value).
Fill in the information below. The announcement will appear in the S.I. Baby section of S.I. Parent magazine. Your address, phone number and email address will NOT be published.
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Baby's Name (first, middle, last):
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Date of Birth:
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Time of Birth (include AM or PM):
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Weight at Birth:
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Length at Birth:
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Parents' First Names:
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Parents' Last Name
Parents' Address: (for magazine subscription delivery)
S.I., N.Y.
Zip Code:
10301
10302
10303
10304
10305
10306
10307
10308
10309
10310
10312
10314
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E-mail Address:
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Phone Number:
Sibling(s) Name(s) and Age(s):
Permission to submit information
If you are not the parent of this baby, please obtain
the parents' permission before submitting this information.
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Relationship to this newborn:
Mother
Father
Other (your name & relationship)
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Must answer in order to submit
I have permission to enter this birth announcement
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Please Check One
I would like a free birth announcement and one year subscription
I would like a free birth announcement only
No, thank you, but I'd like to be placed on your mailing list to receive updates and special offers (include email address)
Sample Announcement: Mr. & Mrs. John Smith are pleaesd to announce the birth of their new daughter! Jane Mary Smith was born on January 1, 2007 at 12:01am, weighing 7 pounds, 4 ounces and measuring 20 1/2 inches. Big Brother Jimmy welcomes his baby sister.
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Indicates Response Required