"Family History Information Sheet"

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Submitter's Name:__________________
Address:_______________________
Date: ________________
Family Group Sheet
(Page 1 of 2)
Please return this form with as much of the information as you can provide by
clicking the Submit button above. Thank you for assisting in our research.
Husband's Name:
__________________________________________________________
Birth Date: ________________________ Place: ______________________________
Baptism Date: ______________________ Place: ______________________________
Occupation: ________________________ Place: ______________________________
Death Date: ________________________ Place: ______________________________
Cause of Death:____________________________________________________________
Burial Date: _______________________ Place: ______________________________
Husband's Father's Name:___________________________________________________
Birth Date: ________________________ Place: ______________________________
Death Date: ________________________ Place: ______________________________
Husband's Mother's Name: __________________________________________________
Birth Date: ________________________ Place: ______________________________
Death Date: ________________________ Place: ______________________________
Marriage Date: _____________________ Place: ______________________________
Wife's Name (maiden name):
_____________________________________________
Birth Date: ________________________ Place: ______________________________
Baptism Date: ______________________ Place: ______________________________
Occupation: ________________________ Place: ______________________________
Death Date: ________________________ Place: ______________________________
Cause of Death:____________________________________________________________
Burial Date: _______________________ Place: ______________________________
Wife's Father's Name:_____________________________________________________
Birth Date: ________________________ Place: ______________________________
Death Date: ________________________ Place: ______________________________
Wife's Mother's Name: ____________________________________________________
Birth Date: ________________________ Place: ______________________________
Death Date: _________________________ Place: ______________________________
Marriage Date: _____________________ Place: ______________________________
Marriage Date:
Place:
____________________
_____________________________
Notes: _____________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
Submitter's Name:__________________
Address:_______________________
Date: ________________
Family Group Sheet
(Page 1 of 2)
Please return this form with as much of the information as you can provide by
clicking the Submit button above. Thank you for assisting in our research.
Husband's Name:
__________________________________________________________
Birth Date: ________________________ Place: ______________________________
Baptism Date: ______________________ Place: ______________________________
Occupation: ________________________ Place: ______________________________
Death Date: ________________________ Place: ______________________________
Cause of Death:____________________________________________________________
Burial Date: _______________________ Place: ______________________________
Husband's Father's Name:___________________________________________________
Birth Date: ________________________ Place: ______________________________
Death Date: ________________________ Place: ______________________________
Husband's Mother's Name: __________________________________________________
Birth Date: ________________________ Place: ______________________________
Death Date: ________________________ Place: ______________________________
Marriage Date: _____________________ Place: ______________________________
Wife's Name (maiden name):
_____________________________________________
Birth Date: ________________________ Place: ______________________________
Baptism Date: ______________________ Place: ______________________________
Occupation: ________________________ Place: ______________________________
Death Date: ________________________ Place: ______________________________
Cause of Death:____________________________________________________________
Burial Date: _______________________ Place: ______________________________
Wife's Father's Name:_____________________________________________________
Birth Date: ________________________ Place: ______________________________
Death Date: ________________________ Place: ______________________________
Wife's Mother's Name: ____________________________________________________
Birth Date: ________________________ Place: ______________________________
Death Date: _________________________ Place: ______________________________
Marriage Date: _____________________ Place: ______________________________
Marriage Date:
Place:
____________________
_____________________________
Notes: _____________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
Family Group Sheet
(Page 2 of 2)
First Child's Name:
______________________________________________________
Birth Date: ________________________ Place: ______________________________
Baptism Date: ______________________ Place: ______________________________
Occupation: ________________________ Place: ______________________________
Death Date: ________________________ Place: ______________________________
Cause of Death: __________________________________________________________
Burial Date: _______________________ Place: ______________________________
Spouse (maiden name): _____________________________________________________
Spouse's Birth Date: _______________ Place: ______________________________
Marriage Date: _____________________ Place: ______________________________
Second Child's Name: _______________________________________________
Birth Date: ________________________ Place: ______________________________
Baptism Date: ______________________ Place: ______________________________
Occupation: ________________________ Place: ______________________________
Death Date: ________________________ Place: ______________________________
Cause of Death: __________________________________________________________
Burial Date: _______________________ Place: ______________________________
Spouse (maiden name): ____________________________________________________
Spouse's Birth Date: _______________ Place: ______________________________
Marriage Date: _____________________ Place: ______________________________
Third Child's Name: ________________________________________________
Birth Date: ________________________ Place: ______________________________
Baptism Date: ______________________ Place: ______________________________
Occupation: ________________________ Place: ______________________________
Death Date: ________________________ Place: ______________________________
Cause of Death: ___________________________________________________________
Burial Date: _______________________ Place: ______________________________
Spouse (maiden name): ____________________________________________________
Spouse's Birth Date: _______________ Place: ______________________________
Marriage Date: _____________________ Place: ______________________________
Fourth Child's Name: _______________________________________________
Birth Date: ________________________ Place: ______________________________
Baptism Date: ______________________ Place: ______________________________
Occupation: ________________________ Place: ______________________________
Death Date: ________________________ Place: ______________________________
Cause of Death: __________________________________________________________
Burial Date: _______________________ Place: ______________________________
Spouse (maiden name): ____________________________________________________
Spouse's Birth Date: _______________ Place: ______________________________
Marriage Date: _____________________ Place: ______________________________
Notes:
___________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
THANK YOU very much for your time!
DAN and TINA BATEHAM, 207 Wolcutt St. Port Angeles, WA 98362
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