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Baby Announcement Consent Form
This form is to be used by parent's who have recently had a baby at the Leongatha Hospital and
is subject to approval before publishing.
A confirmation email will be sent to this email.
I consent to the photo uploaded on this form to be distributed as follows: (please tick one or more)
GSHS Website
GSHS Facebook Pages
The Sentinel Times Newspaper
The display board located in the Maternity Ward at the Leongatha Hospital
After clicking on the submit button, please wait for either a confirmation screen or an error message
I confirm the information contained in this form is true and correct and that I am the parent of the aforementioned baby born at Leongatha Hospital.
If you have any questions or concerns in relation to this form, please email dallas.surace@gshs.com.au
An error occurred. Please make sure you have completed all required fields and try again.
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