Birth Form Welcome!Thank you for choosing to announce your engagement in our publication(s). Newspaper Choice *Northern Plains IndependentCommunity NewsGroom's Information Newborn baby's Name*FirstLast Date of Birth*01020304050607080910111213141516171819202122232425262728293031day / JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecembermonth / 204020392038203720362035203420332032203120302029202820272026202520242023202220212020year Gender*MaleFemale Weight Length Birth Place Hospital/Location Street Address City StateFamily Information Mother's Name*FirstLast Father's Name*FirstLastCelebration Info Name and Ages of Siblings Grandparent's Great-grandparent's Great-great-grandparent'sContact Information- Your contact information below is solely for use by our staff and will not be published. Submitter's Name:*FirstLast Submitter's Phone: Area Code - Phone Number Submitter's Email:* reCAPTCHASubmitReset