Relatives: Would you like to be included in the family tree? You can use this form to send me your information via e-mail! Please fill out each applicable field. You can fill out a form for each member of your family if you wish. If there is any information you don't want posted publicly on the Web, just let me know in the section towards the bottom of the page.
1 Full name
2 Your e-mail address
3 Your mailing address
4 Maiden name
5 Confirmation name
6 Parents' names (Include middle and maiden names)
7 Siblings' names
8 Spouse's name (Include middle and maiden name)
9 Children's names (Include middle names)
10 Date of birth
11 Place of birth
12 Date of marriage
13 Place of marriage
14 Date of divorce
15 Date of death
16 Place of death
17 Place of burial
18 Cause of death
19 Religion (including any dates of conversion)
20 Education (dates and degrees received)
21 Occupation(s)
22 Retired? Yes Date No
23 Military service (dates, branch, rank)
24 Date of immigration to US
25 From what country?
26 Serious health problems
Please indicate any information you do not want published on the Internet
Any comments?
Click on to send your form or to clear the form
Note: Scroll to the bottom of your "form results" after clicking Submit to return to this site. Thanks!
