Genealogy Form

Name: ____________ ____________ ____________

Date of Birth: __-___-____
City: ____________ County: ____________
State: __ Country: ___

Parents: ____________ ____________ ____________
& ____________ ____________ ____________

Gender: ______

Number of marriages: _____

Marriage to: ____________ ____________ ____________
Date of Marriage: __-___-____
City: ____________ County: ____________
State: __ Country: ___

Number of children by this marriage: ______

Marriage to: ____________ ____________ ____________
Date of Marriage: __-___-____
City: ____________ County: ____________
State: __ Country: ___

Number of children by this marriage: ______

Marriage to: ____________ ____________ ____________
Date of Marriage: __-___-____
City: ____________ County: ____________
State: __ Country: ___

Number of children by this marriage: ______

Name history
date reason new name
__-___-____ birth ____________ ____________ ____________
__-___-____ marriage ____________ ____________ ____________
__-___-____ divorce ____________ ____________ ____________
__-___-____ marriage ____________ ____________ ____________

Alive? ______

Date of Death __-___-____
City ______ County ______
State __ Country ___

(You may include photos; for each give subject's age when taken.)

Form filled out date: ____________ by ________________________