Contact Email *Just in case we need more information.
PhoneInclude if you would rather be contacted by phone.
Newborn baby's name *
Date & time of birth *
Place of birth, including cityExample: Delta County Memorial Hospital, Delta
Birth weight and length *
Is the baby a boy or girl? *BoyGirl
Mother's first and last name. *
Father's first and last name *
Parent's home address, including city
SiblingsNames and ages of any brothers or sisters.
Local relativesNames and addresses of grandparents, etc.
Notes *Secret Code
Delta County Independent
401 Meeker St
Delta, CO 81416
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