Genealogical Information for Nickerson Descendents
Print out this form and fill it in, then send it with your membership application.
Your Name_______________________________________________________________
Address_________________________________________________________________
Born on ___________________________________ at___________________________
Your Father_____________________________________________________________
Born on___________________________ at___________________________
Died on___________________________ at___________________________
Son of___________________________ and___________________________
Your Mother ____________________________________________________________
Born on___________________________ at___________________________
Died on___________________________ at___________________________
Daughter of______________________ and___________________________
Marriage of Parents on____________________ at___________________________
Your Spouse_______________________________________________________
Born on___________________________ at___________________________
Died on___________________________ at___________________________
Spouse's Father____________________________________________________________
Born on___________________________ at___________________________
Died on___________________________ at___________________________
Son of___________________________ and___________________________
Spouse's Mother____________________________________________________________
Born on___________________________ at___________________________
Died on___________________________ at___________________________
Daughter of______________________ and___________________________
Your Marriage Date________________________ at___________________________
Your Children:
Name____________________________________________________________
Born on___________________________ at___________________________
Married on________________________ at___________________________
Spouse__________________________________________________________
Born on___________________________ at___________________________
Parents__________________________ and___________________________
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Name____________________________________________________________
Born on___________________________ at___________________________
Married on________________________ at___________________________
Spouse__________________________________________________________
Born on___________________________ at___________________________
Parents__________________________ and___________________________
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Name____________________________________________________________
Born on___________________________ at___________________________
Married on________________________ at___________________________
Spouse__________________________________________________________
Born on___________________________ at___________________________
Parents__________________________ and___________________________
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Name____________________________________________________________
Born on___________________________ at___________________________
Married on________________________ at___________________________
Spouse__________________________________________________________
Born on___________________________ at___________________________
Parents__________________________ and___________________________
Your Uncles, Aunts, Cousins, Brothers, Sisters and Grandparents
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