Kingfisher Times and Free Press
Birth Announcement
Note: $5.00 charge if picture is included.
 
Baby's name: ____________________________________________________ Male   Female (circle one)
 
Parents' Names:  ________________________________________________________________________________
 
Town Where They Live:  __________________________________
 
Where Born (Hospital and Town):  ________________________________________________________________
 
Birth Date: _______________________________ Time of Birth:  _________________ am or pm (circle one)
 
Weight: ________________lbs. ___________oz.     Length ________________________ inches
 
Maternal (Mother's) side:

Grandparents and Towns of Residence _____________________________________________________________

Great - Grandparents, Towns ______________________________________________________________________

Great-Great-Grandparents, Towns _________________________________________________________________

Paternal (Father's) side:

Grandparents and Towns of Residence _____________________________________________________________

Great - Grandparents, Towns ______________________________________________________________________

Great-Great-Grandparents, Towns _________________________________________________________________

Siblings:

Sisters names, ages ____________________________________________________________________________

Brothers names, ages ___________________________________________________________________________
 
Name and phone number of contact person _______________________________________
 
Please print, fill out, and mail or FAX to:

Kingfisher Times and Free Press
P.O. Box 209
Kingfisher, Oklahoma 73750
FAX: (405) 375-3222


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