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.

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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

Upload Photo

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 jodie.duckworth@gshs.com.au