OUR HOME TOWN News
Birth Announcement Request Form
Congratulations on your new arrival!

OUR HOME TOWN News invites you to announce the birth of your baby in OUR HOME TOWN printed newspaper. This service is free, and participation is voluntary.

Simply fill out this form and send it to OUR HOME TOWN, P O Box 101, Vanderbilt or drop off in the mail box on the door at 540 East Main (next to the Vanderbilt Post Office). No street addresses or phone numbers will be published or given out; they are needed for verification purposes only.

OUR HOME TOWN News publishes announcements up to three months after the baby’s birth. Only parents named on the birth certificate can be mentioned.

Questions? Call OHT at 983-2233. Our best wishes to you and yours!
PLEASE TYPE OR PRINT LEGIBLY; WRITE ALL NAMES AS YOU WANT THEM TO APPEAR

Please type or print legibly; write all names as you want them to appear.
BABY
Baby’s name:

Birth date and hospital:

MOTHER
Full name:

Maiden name (for verification purposes):
Full address and daytime phone:
If you no longer live in your hometown, and want it mentioned, list it here:

FATHER:
(Complete this section only if father is named on birth certificate AND wants his name to appear in the newspaper)
Full name:

Full address and daytime phone:
If you no longer live in your hometown, and want it mentioned, list it here:

I/We give permission for this information, and our picture (when applicable) to be published in OUR HOME TOWN News and its Web site, except for street addresses and telephone numbers (This section must be signed).

Mother's signature:

Father's signature (if applicable):
How to get listed Photographs

You are welcome to submit a photo of your baby. OUR HOME TOWN News reserves the right to decline to publish announcements and photos. Photo must be labeled with baby's name and name(s) of parent(s). The image must be a photograph that is in sharp focus. It must feature only the baby, or must be easily cropped to show only the baby. The image may be in color or in black and white. Sorry — no photos or other materials can be returned.