Birth submission

After you submit this form, a customer service representative will contact you. There is a charge for announcements and this can be discussed with the representative who calls.

When the announcement appears, additional copies of the paper may be purchased from the Circulation Department by calling 219-933-3957.

* means required field.

*

Name of child
*

Male / Female
*

Time and date born
*

Location, city and state born

Weight and length of child

Mother’s full name

Father’s full name

Parent’s city and state of residence

Maternal grandparent’s name(s)

Maternal grandparent’s city and state of residence

Paternal grandparent’s name(s)

Paternal grandparent’s city and state of residence

Other family members

Miscellaneous

You may upload a photo of the baby that will be used with your announcement. It can be black and white or color. The photo MUST be submitted in .GIF or .JPG format, and CANNOT be larger than 2 megabytes in file size.

Photo of happy couple:

VERIFICATION CONTACT NAME:
DAYTIME PHONE:

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