BIRTH ANNOUNCEMENT

Photo Submission Details

Please submit a total of four high resolution photos of your new baby. If you are not uploading your photos, please email them to Anne@kcindependent.com.

Name of professional photographer who took the photos you are submitting, if applicable.

Photo #1

Photo #2

Photo #3

Photo #4

Payment Details

There is no fee for publication of a Birth Announcement for subscribers. All others should submit $50.

Are you a current subscriber to The Independent?*

Yes
No

Preferred Payment Method*

I will mail a personal check to The Independent.
I will call Laura Gabriel at 816.471.2800 to make payment.
I want to pay online.
I am a subscriber to The Independent.

The Parents

Mother's Name

First Last

Mother's Maiden Name

Father's Name

First Last

City/State of Residence

The Baby

Baby's Name*

First Middle Last

Birthdate*

Nickname?

First

Sex

Male
Female

Birth Weight

Birth Length

Eye Color

Hair Color

The Siblings

Names and Ages of Siblings

The Grandparents

Maternal Grandmother's Name

First Last

Maternal Grandfather's Name

First Last

Please check all that apply.

Married to each other
Divorced from each other
Both living
Grandmother deceased
Grandfather deceased

Paternal Grandmother's Name

First Last

Paternal Grandfather's Name

First Last

Please check all that apply.

Married to each other
Divorced from each other
Both living
Grandmother deceased
Grandfather deceased

Additional Information

Are there great-grandparents you would like included in the announcement? Do you have a fun story you would like to share about the baby or siblings? Is there a special reason for the baby's name? How is the baby's nursery decorated?

Name of Person Submitting this Form*

First Last

Phone Number*

Email Address*

Photo Submission Details

Payment Details

The Parents

The Baby

The Siblings

The Grandparents

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