Rothermel Families of America
Genealogy Database Registration & Update

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Please fill out this form in its entirety, with as much information as you know. Full names, no initials please, include maiden names where applicable. Fill in as many generations as possible of your Rothermel bloodline. Include marriage date, date of birth, date and place of death and burial if available.

Which of the following will you be doing?

Choose one:

         Add a new family
         Add a name to an existing family
         Correction to previous submission
         Update existing family information (weddings, deaths, etc.)

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Your Name:
                       Include maiden names where applicable

Date & place of birth:

Your Spouse:
Date & place of birth:

Marriage date & place:

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List your children in the order of their ages. Please indicate ''A' if adopted 'S' if step-child.

Child 1 Name:
Date & place of birth:

Name of Spouse:                                      Include maiden names where applicable

Marriage date & place:

Child 2 Name:
Date & place of birth:

Name of Spouse:

Marriage date & place:

Child 3 Name:
Date & place of birth:

Name of Spouse:

Marriage date & place:

Use text box at the end of this form for additional children if needed.

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Your Father's Name:
His date and place of birth:
His date and place of death:

Your Mother's Name:
                                     Include maiden names where applicable

Her date and place of birth:
Her date and place of death:

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Your Siblings
Sibling 1:
Date and place of birth:

Sibling 2:
Date and place of birth:

Sibling 3:
Date and place of birth:

Use text box at the end of this form for additional siblings if needed.

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Grandfather's Name:
Date and place of birth:
Date and place of death:

Grandmother's Name:
                                     Include maiden names where applicable

Date and place of birth
Date and place of death:

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                      Their children <> your aunts & uncles
Aunt/Uncle 1:
Date and place of birth:
Date and place of death:

Aunt/Uncle 2:
Date and place of birth:
Date and place of death:

Aunt/Uncle 3:
Date and place of birth:
Date and place of death:

Use text box at the end of this form for additional aunts & uncles if needed

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Contact Information
Address/street/city/state/zip:

   Telephone      E-mail

Use this box to include additional children, grandchildren, siblings, aunts & uncles,
military branch of service, rank, dates, any other information or to ask questions.
Don't worry about space. The text area will expand as you type.

PLEASE CLICK SEND FORM ONE TIME ONLY

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