Family Group Record

PreparedBy:___________________________________________ Relationship to Preparer:_________________________
Address_______________________________________________

Date:___________________________________

(_)Husband: (_)Occupation:
(_)

Date - Day-Month-Year

City/County

State/Country

(_)
(_)Born:  (_) (_) (_)Time:
(_)Christened: (_) (_) (_)Church: 
(_)Marrid: (_) (_) (_)Place: 
(_)Died: (_) (_) (_)Cause of Death: 
(_)Buried: (_)Cem/Place:

Date Will Written/Proved:

(_)Father: (_)Other Wives: (_)
(_)Mother: (_)
(_)Wife (maiden name): (_)Occupation:
(_)

Date - Day-Month-Year

City/County

State/Country

(_)
(_)Born: (_) (_) (_)Time:
(_)Christened: (_) (_) (_)Church: 
(_)Marrid: (_) (_) (_)Place: 
(_)Died: (_) (_) (_)Cause of Death: 
(_)Buried: (_)Cem/Place: Date Will Written/Proved:
(_)Father: (_)Other Husbands: (_)
(_)Mother: (_)
(_)Child One Given Name:  (_)DOB:     (_) City/Cnty/State/Ctry
(_) (_)Sex M/F (_)Death: 
(_)1st Spouse:  (_)DOB:   (_) City/Cnty/State/Ctry
(_)Other Spouses: (_)Death: 
(_)Child Two Given Name:  (_)DOB:     (_) City/Cnty/State/Ctry
(_) (_)Sex M/F (_)Death: 
(_)1st Spouse:  (_)DOB:    (_) City/Cnty/State/Ctry
(_)Other Spouses: (_)Death: 
(_)Child Three Given Name:  (_)DOB:     (_) City/Cnty/State/Ctry
(_) (_)Sex M/F (_)Death: 
(_)1st Spouse:  (_)DOB:  (_) City/Cnty/State/Ctry
(_)Other Spouses: (_)Death: