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In case of multiples, please fill out form for each child.
Sex:    Boy
Girl
Name of baby:   
Baby's date of birth:   
Time of birth:   
Baby's birth weight:   
Hospital's name:   
Name of parents:   
Address:   
Phone number
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Grandparents names and city and   
state of residence:   
Brothers of baby:   
Sisters of baby:   
   

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