Birth |


Below you will find an online birth announcement form. Simply fill out the form and click on the send button. Your request will be processed electronically as quickly as possible. If you prefer, you may also print this form, fill it out and send it to:

The Record-Courier
1503 Hwy 395, Suite G
Gardnerville, NV 89410

ATTN: Birth Announcements

Parent Information

Parent's Names *

City of Residency *

State of Residency *

About the Baby

Permission received from father if single? *

Baby's (or Babies') Name *

Born At (hospital name) *

Date of Birth *

Grandparent's Names *

Grandparent's Residency *

Additional Information *

Submitter Information

Your Name *

Phone Number

Your Email *

Photo Submission

How will photo(s) be sent? *

Photo 1