Share Your Story

Are you a St Charles Baby? Do you have one in your family?

Share Your Family Story:

Meet the Harman Family
Patchogue

Meet the Lubliner Family
Mt. Sinai

Meet the Hickey Family
Northport

Meet the Mallo Family
Stony Brook

Meet the Codrington Family
Shirley

Meet the Romero Family
Mt. Sinai

First Name *

Last Name *

Street Address *

City *

State *

Zip *

Home Phone *

Email Address *

Yes! *

Please sign me up to be a member of the SCH Family/Baby Campaign Committee I’m a St. Charles Baby

Name of St. Charles Baby *

Your Relationship to St. Charles Baby *

Self

Mother

Father

Grandmother

Grandfather

Aunt

Uncle

Other

Your Baby Story *

I hereby grant permission to St. Charles, Port Jefferson, NY and/or its authorized representative, to use this story/photo for advertising, video, research, pamphlets, web pages, social media, fund raising and/or any other purpose by St. Charles.

By submitting this information, I hereby grant permission to St. Charles, Port Jefferson, NY and/or its authorized representative, to use this story and photo for advertising, video, research, pamphlets, web pages, social media, fund raising and/or any other purpose by St. Charles.