Genealogy Form

FRIEDRICH SEIDEMANN DESCENDANTS GENEALOGY FORM

Get in on the fun as we continue to build a “detailed” computer file of family facts for present and future descendants. Information you share with us will be used for statistical and research purposes. Please make copies of both sides of this form for each child living with you and a copy for yourself. Be sure other family members also have copies. Complete only the information that pertains to you and that you are comfortable answering. Return this completed form to: Seidemann Family

P O Box 184 Newburg, WI 53060-0184, bring it to the Reunion, or scan to your computer and email it to:

secretary@seidemannfamily.org. Thanks for helping.
DESCENDANT: ______________ ________________ ___________________ _____________________________

First Name Middle Name (Maiden Name) Last Name
Title: Master/Miss/Mr/Mrs./Ms./Dr./Rev __________________________________________ (which combination)
Street Address______________________________________________________________________________________ City___________________________________________ State ______________ Zip Code ______________________ Phone (___) _______________ Mobile (___) ______________Email ______________________________Gender_____

Birth Date: ________ _______________ _________ Death Date: ________ _________________ __________ Day Month Y ear Day Month Y ear

Birth Hospital ____________________________ City __________________________________ State_______________ Birth weight_____________________ Birth length ______________________ Time of birth_______________________ Multiple births ________ Adopted_______ Baptized date ____________________ Nationality _____________________ Years of Education _______ School/s attended _______________________________ Degrees _____________________ Occupation/s _______________________________________________________________________________________ Hobbies and Interests ________________________________________________________________________________ Military branch if served _________________ Rank ____________________ Unit ______________________________ Dates __________________ Recognitions _______________________________________________________________ Adult Weight_______________ Height ________________ Hair color _____________ Eye Color __________________ Religion/s ____________________________________ Church ______________________________________________ Church City _____________________________________________________________ Church State _______________ Burial or Cremation ____________________ Place ________________________________________________________ City__________________________________________________________________________ State _______________ Age of death __________Cause of death_________________________________________________________________ Father’s full name ___________________________________________________________________________________ Mother’s full name (& maiden) ________________________________________________________________________

(Optional) Health History-surgeries, illnesses & dates – (may attach additional information if needed) ______________________________________________________________________________________________________________________________________________________________________ ___________________________________________________________________________________

SPOUSE’S DATA

Spouse’s Name _____________________ _______________ _________________________ ______________________ First Name Middle Name Maiden Name Last Name

Phone (___) _______________ Mobile (___) ______________Email ___________________________Gender________

Birth Date: ________ ________________ ___________ Death Date: _______ _______________ __________ Day Month Y ear Day Month Y ear

Birth Hospital ________________________ City ______________________________________ State_______________ Birth weight________________________ Birth length _____________________ Time of birth_____________________ Multiple births ________ Adopted_______ Baptized date ____________________ Nationality _____________________ Years of Education _______ School/s attended _______________________________ Degrees _____________________ Occupation/s _______________________________________________________________________________________ Hobbies and Interests ________________________________________________________________________________ Military branch if served ________________ Rank ______________________ Unit _____________________________ Dates ________________ Recognitions _________________________________________________________________ Adult Weight_______________ Height ________________ Hair color _____________ Eye Color __________________ Religion/s ____________________________________ Church ______________________________________________ Church City ________________________________________________________________ Church State ____________ Burial or Cremation ____________________ Place ________________________________________________________ City__________________________________________________________________________ State _______________ Age of death __________Cause of death_________________________________________________________________ Father’s full name ___________________________________________________________________________________ Mother’s full name (& maiden) ________________________________________________________________________

(Optional) Health History-surgeries, illnesses & dates – (may attach additional information if needed) __________________________________________________________________________________________________ __________________________________________________________________________________________________

Other information:

Marriage Data:

Date ________________________________ Place ________________________________________________________

City ________________________________ State _________Circle marital status: single / married / widowed / divorced Number of children by this marriage (living and deceased) ________________

Names Birthdates (add additional pages if needed)

Revised 1 February 2013