FAMILY HISTORY FORM
Please fill in a separate form for each ancestor. Print out this page and mail back to:
Harvey Historical Society, P.O. Box 159, Buckhorn, Ont., K0L 1J0
Ancestors Name: ______________________Spouse:________________________
Married Who: ________________________When:_________________________
Township they resided in: ____________________________How Long:_________
Birth Date & Place___________________________________________________
Death Date & Place __________________________________________________
In What Cemetery __________________________Township:_________________
Occupation: _______________________________________________________
Children:
Name Birth & Place Death & Place Married Date
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Notes: Include any interesting facts. Obituary, Newspaper articles, photographs, Copies of documents, copies or photographs of family memorabilia, Bible Records, etc. Remember what may not seem interesting to you maybe interesting to future generations! Please use back of page for further notes. We will contact you with any questions.
Person submitting information:__________________________________________
Your Address______________________________________________________
________________________________________________________________
Your Email Address:_________________________________________________
Website on this family?: ______________________________________________