Birth Announcement Form

The Pilot publishes the height of the baby, and the names of siblings.

Please include hometowns for the parents and grandparents.

We do not run photos with birth announcements, however ads are available to allow for a photo and additional information. Call (336) 368-2222 with questions about placing an ad.

Baby's Information

Newborn baby's name:
Date of Birth:
Place of birth, including address:
Is the baby male or female? Male Female

Parent Information

Mother and father's first and last names, including mother's maiden name:
Mother and father's home address, including city:

Additional Family Information

Grandparents' first and last names and addresses, including city:
Great-grandparents' first and last names and addresses, including city:

Photo

Please choose a method to submit your photo:
Mailing photo
Attaching photo via email
Not sending photo
Attach photograph in JPEG/JPG format::
(File size limit is 5MB)

Contact Information

*First Name:
*Last Name:
Phone:
*E-mail: (A valid e-mail is required.)