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The ongoing work of gathering information regarding our ancestors is a long and tedious task. If you see information that you have that you would like to include in this record please fill out the following. I do ask for personal information about yourself, for additional contact purposes, but if you choose not to give it I will understand. None of the information is for commercial purposes and will not be sold. It is only requested for genealogy records only.
Please fill out as thoroughly as possible, and when submitting places, include City, County, State/Province, & Country. Also, if you have any of the documents backing up your submissions, please send copies to me by e-mail or snail mail.
-- Thanks ever so much, Jennie Ruth DeLurey
Submitter's Information
Submitter
Name:
E-Mail:
Contact Information
Address:
Phone Number:
Relationship
Your Relationship to the person being submitted:
Submitted's Personal Information
Personal
Given Name:
Surname/Maiden Name:
Sex:
Unknown
Male
Female
Married Name:
Other Married Names:
Also Known As:
Nickname:
Parents
Mothers Full Maiden Name:
Fathers Full Name:
Sibling's Full Names and other family Information:
Spouse's Full Name:
Childrens Full Names and other family Information:
Event Information
Birth
Date:
Place:
Marriage
Date:
Place:
Death
Date:
Place:
Burial
Date:
Place:
LDS Ordinances Information
Baptism
Date:
Place:
Endowment:
Date:
Temple:
Sealing to Parents:
Date:
Temple:
Other Event Information
Adoption
Date:
Place:
Confidential:
No
Yes
Confirmation (LDS)
Date:
Place:
Confidential:
No
Yes
Marriage License
Date:
Place:
Confidential:
No
Yes
Blessing
Date:
Place:
Confidential:
No
Yes
Mission
Date:
End Date:
Place:
Confidential:
No
Yes
Graduation
Date:
Place:
Description:
Confidential:
No
Yes
Other Information
Cause of Death:
Physical Description:
Additional Information & Notes:
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