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Information must be submitted within two months of the birth.
A red asterisk denotes a required field and must be filled in.
Submit your baby's photo, file formats excepted are gif, jpeg and png.
Example: John, age 3; Robert, age 6
Example: Mary, age 2; Jane, age 6
Both parents may be contacted to validate information. Father's name cannot be included unless it appears on the baby's birth certificate. Information will be verified with the hospital.
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