CHUTE FAMILY DATA WORKSHEET

CHUTE FAMILY DATA WORKSHEET

HIS NAME

 

HER NAME

 

Date of Birth

 

Date of Birth

 

Place of Birth

 

Place of Birth

 

Name of Father

 

Name of Father

 

Name of Mother

 

Name of Mother

 

Date of Death

 

Date of Death

 

Place of Death

 

Place of Death

 

Burial

 

Burial

 

Religious Affiliation

 

Religious Affiliation

 

Education

 

Education

 

 

 

 

 

Occupation

 

Occupation

 

Military Experience

 

Military Experience

 

Affiliations, Clubs

 

Affiliations, Clubs

 

BIOGRAPHY: (Optional. Use reverse of this sheet or an additional sheet of paper, if needed).

BIOGRAPHY:

HOW THEY MET (OPTIONAL)

 

MARRIAGE

Date:

Place:

Name of Church, Minister (if known):

WHERE THEY LIVED

City, State

From

To

City, State

From

To

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CHILD #1

Name

CHILD #2

Name

Date/Place of Birth:

Date/Place of Birth:

Date/Place of Death:

Date/Place of Death:

CHILD #3

Name

CHILD #4

Name

Date/Place of Birth:

Date/Place of Birth:

Date/Place of Death:

Date/Place of Death:

 



Submitted By:  (Your full name and group number, if known):

Contact Information:  (Your home address or e-mail address):

Date of Submission:

Save this html page in the format of your word processing system to complete, or use as a guide in completing the information independently of the form itself. Complete a worksheet for each household (mother, father, children). Add additional children on the reverse of the form, or at the bottom of the page. Children in one household who marry will, in addition to appearing on their parents' worksheet as a child, also have their own family worksheet, even if there is only a husband and wife. Fill out one worksheet for each household, going as far back as you can. Note that worksheets can also be filled out for unmarried couples with children, and "life partner" couples. Thank you again for your kind assistance. Feel free to distribute this form to every Chute relation you know, and have them return this form to: Jacqueline Chute, chiara2@aol.com, or mail to me at my current address (contact me for my current address!).

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