Birth/Adoption Announcement

Your Information (Parent 1)

Relationship to Luther*

First Name (Legal/Given)*

Preferred First Name

Last Name*

Last Name at Luther (if different than above)

Birthdate

Personal Pronouns

Gender Identity

Preferred Reunion Class Year*

Preferred Email*

Mobile Phone

Home Phone

Preferred Mailing Address*

Country

Street

City

Region

Postal Code

Parent 2 Information

First Name (Legal/Given)*

Preferred First Name

Last Name*

Last Name at Luther (if different than above)

Birthdate

Personal Pronouns

Gender Identity

Preferred Reunion Class Year*

Announcement Information

Child's First Name*

Child's Last Name*

Child's Birthdate*

Child's Gender

Female

Male

This is an adoption*

Yes

No

Additional Comments

Magazine and Class Letter Permissions

The College can print the birth/adoption of my child in the Magazine and Class Letter.*

Yes

No

Interaction Date (hidden)

Interaction Code (hidden)

Interaction Subject (hidden)