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First birthday
CONGRATULATIONS! Please fill out this form to submit news of your child's first birthday. You may also download the PDF Form and mail it to: Galena Gazette, PO Box 319, Galena, IL 61036. There is no charge for this service.

If you attach a photo, the photo must be a JPEG, no less than 2.5 inches wide and no less than 200 dip resolution.

Please indicate if parents are deceased, separated, or divorced and give the full name and addresses of each.

Your Name * required
Your Phone * required
Your Email * required

Child's name * required
Boy or girl
Child's date of birth * required

Parents' names & place of residence

Maternal grandparents' names & place of residence
Paternal grandparents' names & place of residence
Maternal great-grandparents' names & place of residence
Paternal great-grandparents' names & place of residence
Maternal great-great-grandparents' names & place of residence
Paternal great-great-grandparents' names & place of residence

Brothers: Names & ages:
Sisters: Names & ages:

Photo(s) must be JPEG, no less than 2.5 inches wide and no less than 200 dpi resolution. There is no charge for color.
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Total limit: 512KB
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The Galena Gazette, 716 S. Bench St., Galena , IL 61036, 815.777.0019