Please print, complete and MAIL this form with photo to: The Review, P.O. Box 317, Plymouth, WI, 53073. Photos should be clear and bright. All submitted photos become the property of Wisconsin Newspress. Please do not submit your only copy. If you wish to bring in your photo, you may wait while the photo is scanned. We are not liable for any lost or damaged photos.

COLOR PHOTOS PREFERRED

Baby's Name(s): ______________________________________________________________________________
Date of Birth: ________________________________________________________________________________
Hospital & City: ______________________________________________________________________________
Parents' Names: ______________________________________________________________________________
City of Parents: _______________________________________________________________________________
Telephone: __________________________________________________________________________________

Grandparents: ________________________________________________________________________________
City of Grandparents: __________________________________________________________________________
Grandparents: ________________________________________________________________________________
City of Grandparents: __________________________________________________________________________

Great-grandparents: ___________________________________________________________________________
City of Great-grandparents: _____________________________________________________________________
Great-grandparents: ___________________________________________________________________________
City of Great-grandparents: _____________________________________________________________________

Sibling(s): __________________________________________________________________________________
Other information: ____________________________________________________________________________