Update Family Information

ARE WE MISSING ANYTHING???

Please take the time to fill out this form so that we may continue to increase our knowledge of your family.

E-Mail: deana@switzer.ca
Fax:  (905) 489-2692
Mail:
Mel and Deana Fishman
1524 – 7805 Bayview Avenue.
Thornhill, Ontario Canada, L3T 7N1

Mailing Name _______________________________________

Phone No.______________________

Address ___________________________________________

Fax: ___________________________

City/Prov/Country____________________________________

Business No._____________________

Postal/Zip Code:

E-mail:

 

Last Name ___________________

First Name ________________________

Fam. Tree #_________

 

Middle Name(s) _________________

Hebrew Name(s)____________________

Preferred ___________

 

Birth date __/__/__      Where ______________

Deceased ___/___/___   Where  ___________________

 

Occupation______________________________

Hobbies ___________________________________

 

Spouse 1 _____________  Born __/__/___

Where ___________    Died___/___/___ Where _________

(first name – maiden name)

Married ___/___/___   Divorced: __/__/___    Where ___________

Occup ________ Hobbies________

 

Spouse 2 _____________  Born __/__/___

Where ___________    Died___/___/___ Where _________

(first name – maiden name)

Married ___/___/___   Divorced: __/__/___    Where ___________

Occup ________ Hobbies________

 

Spouse 1 Hebrew Name: ____________­­______________

Spouse 2 Hebrew Name: ____________­­______________

 

Child 1 ___________________    Born ___/___/___

Where ______________    Died___/___/___ Where _____________

 

Child 2 ___________________    Born ___/___/___

Where ______________    Died___/___/___ Where _____________

 

Child 3 ___________________    Born ___/___/___

Where ______________    Died___/___/___ Where _____________

 

Child 1 Heb. Name:______________

2 Heb. Name : _________________

3 Heb.Name: _____________

 

Father_______________ Born __/__/___

Where ______________    Died__/__/___ Where__________

 

Mother_______________ Born __/__/___   Where ______________    Died__/__/___ Where _________

(first name – maiden name)

 

Father Hebrew Name: ________________

Mother Hebrew Name: ______________________________

 

Please copy this page and send it in for all members of your family

use reverse side for additional information or comments