Kim & Sue’s Genealogy Pages

Family Questionnaire

Please fill out this form if you are any of the following.

1. New to the family?

2. Part of the family?

3. New addition to the family?

4. Think you’re a branch on our family tree?

Important Notice:

1. Please complete the form with FULL names (First, middle, last).

2. Please be sure to give us your contact information at the bottom.

3. If there is simply a new addition to the family, just add your name and their information.  (There no need to fill out every box.)

4. You may need to use the mouse to get to some boxes, because we’re still trying to perfect this form.

 

Thanks for taking the time to become part of our family tree.  

Questionnaire

Address:

Phone:

E-mail:

State/Prov:

City:

Zip/Post. code:

Husband’s First Name:

Middle:

Last:

Wife’s First Name:

Middle:

Husband’s Date of Birth

City

State:

Husband’s Date of Death

City

State:

Wife’s Date of Birth

City

State:

Mother’s First Name:

Middle:

Maiden Last:

Mother’s Date of Birth

City

State:

Mother’s Date of Death

City

State:

Father’s First Name:

Middle:

Last:

Father’s Date of Birth

City

State:

Father’s Date of Death

City

State:

Siblings First Name:

Middle:

Last:

Siblings First Name:

Middle:

Last:

Siblings First Name:

Middle:

Last:

Wife’s Date of Death

City

State:

Mother’s First Name:

Middle:

Mother’s Date of Birth

City

State:

Mother’s Date of Death

City

State:

Father’s First Name:

Middle:

Last:

Father’s Date of Birth

City

State:

Father’s Date of Death

City

State:

Siblings First Name:

Middle:

Last:

Siblings First Name:

Middle:

Last:

Siblings First Name:

Middle:

Last:

Child #1 First Name:

Middle:

Last:

 Date of Birth

City

State:

 Date of Death

City

State:

Child #2 First Name:

Middle:

Last:

 Date of Birth

City

State:

 Date of Death

City

State:

Child #3 First Name:

Middle:

Last:

 Date of Birth

City

State:

 Date of Death

City

State:

Child #4 First Name:

Middle:

Last:

 Date of Birth

City

State:

 Date of Death

City

State:

Maiden Last:

Maiden Last: