Family group record number           . Page         of        .

HusbandBirth date Birthplace

Christening date Christening place

Marriage date Marriage place

Death date Death place

Burial date Burial place

Husband’s father □ Deceased

Husband’s mother □ Deceased

Other parents and other spouses

WifeBirth date Birthplace

Christening date Christening place

Death date Death place

Burial date Burial place

Wife’s father □ Deceased

Wife’s mother □ Deceased

Other parents and other spouses

Children Name □ Male

□ FemaleBirth date Birthplace

Christening date Christening place

Marriage date Marriage place Spouse

Death date Death place

Other parents and other spouses

Name □ Male□ Female

Birth date Birthplace

Christening date Christening place

Marriage date Marriage place Spouse

Death date Death place

Other parents and other spouses

Family Group Record

Published by The Church of Jesus Christ of Latter-day Saints © 2006, 2013 by Intellectual Reserve, Inc. All rights reserved. 10/12. PD50046377 

10/12. PD50046377 

Family Group Record—continued Family group record number           . Page         of        .

Husband Wife

Children—continued Name □ Male

□ FemaleBirth date Birthplace

Christening date Christening place

Marriage date Marriage place Spouse

Death date Death place

Other parents and other spouses

Name □ Male□ Female

Birth date Birthplace

Christening date Christening place

Marriage date Marriage place Spouse

Death date Death place

Other parents and other spouses

Name □ Male□ Female

Birth date Birthplace

Christening date Christening place

Marriage date Marriage place Spouse

Death date Death place

Other parents and other spouses

Name □ Male□ Female

Birth date Birthplace

Christening date Christening place

Marriage date Marriage place Spouse

Death date Death place

Other parents and other spouses

Name □ Male□ Female

Birth date Birthplace

Christening date Christening place

Marriage date Marriage place Spouse

Death date Death place

Other parents and other spouses

10/12. PD50046377 

Family Group Record—continued Family group record number           . Page         of        .

Husband Wife

Children—continued Name □ Male

□ FemaleBirth date Birthplace

Christening date Christening place

Marriage date Marriage place Spouse

Death date Death place

Other parents and other spouses

Name □ Male□ Female

Birth date Birthplace

Christening date Christening place

Marriage date Marriage place Spouse

Death date Death place

Other parents and other spouses

Name □ Male□ Female

Birth date Birthplace

Christening date Christening place

Marriage date Marriage place Spouse

Death date Death place

Other parents and other spouses

Name □ Male□ Female

Birth date Birthplace

Christening date Christening place

Marriage date Marriage place Spouse

Death date Death place

Other parents and other spouses

Name □ Male□ Female

Birth date Birthplace

Christening date Christening place

Marriage date Marriage place Spouse

Death date Death place

Other parents and other spouses

10/12. PD50046377 

Family Group Record—continued Family group record number           . Page         of        .

Husband Wife

Children—continued Name □ Male

□ FemaleBirth date Birthplace

Christening date Christening place

Marriage date Marriage place Spouse

Death date Death place

Other parents and other spouses

Name □ Male□ Female

Birth date Birthplace

Christening date Christening place

Marriage date Marriage place Spouse

Death date Death place

Other parents and other spouses

Name □ Male□ Female

Birth date Birthplace

Christening date Christening place

Marriage date Marriage place Spouse

Death date Death place

Other parents and other spouses

Name □ Male□ Female

Birth date Birthplace

Christening date Christening place

Marriage date Marriage place Spouse

Death date Death place

Other parents and other spouses

Name □ Male□ Female

Birth date Birthplace

Christening date Christening place

Marriage date Marriage place Spouse

Death date Death place

Other parents and other spouses

10/12. PD50046377 

Family Group Record—continued Family group record number           . Page         of        .

Husband Wife

Sources and Notes Attach additional sheets as necessary.

10/12. PD50046377 

Family Group Record—continued Family group record number           . Page         of        .

Husband Wife

Sources and Notes Attach additional sheets as necessary.

10/12. PD50046377 

Family Group Record—continued Family group record number           . Page         of        .

Husband Wife

Sources and Notes Attach additional sheets as necessary.

10/12. PD50046377 

Family Group Record—continued Family group record number           . Page         of        .

Husband Wife

Sources and Notes Attach additional sheets as necessary.

10/12. PD50046377 

Family Group Record—continued Family group record number           . Page         of        .

Husband Wife

Sources and Notes Attach additional sheets as necessary.

10/12. PD50046377 

Family Group Record—continued Family group record number           . Page         of        .

Husband Wife

Sources and Notes Attach additional sheets as necessary.

10/12. PD50046377 

Family Group Record—continued Family group record number           . Page         of        .

Husband Wife

Sources and Notes Attach additional sheets as necessary.

10/12. PD50046377 

Family Group Record—continued Family group record number           . Page         of        .

Husband Wife

Sources and Notes Attach additional sheets as necessary.

10/12. PD50046377 

Family Group Record—continued Family group record number           . Page         of        .

Husband Wife

Sources and Notes Attach additional sheets as necessary.

10/12. PD50046377 

Family Group Record—continued Family group record number           . Page         of        .

Husband Wife

Sources and Notes Attach additional sheets as necessary.

10/12. PD50046377 

Family Group Record—continued Family group record number           . Page         of        .

Husband Wife

Sources and Notes Attach additional sheets as necessary.

10/12. PD50046377 

Family Group Record—continued Family group record number           . Page         of        .

Husband Wife

Contributor’s Name and InformationContributor’s name Birth date Phone (with area code)

Address

Email

Date prepared Helper access number

Instructions

• Writeallnamesasfull,main,legalnamesintheordertheyarespoken.Writeawoman’smaidenname(birthname),nothermarried name.

• Writealldatesasday,month,andyear,suchas4 Oct 1996.• Writeallplacesinorderofsmallesttolargestpoliticaljurisdiction,separatedbycommas,suchasTryon,Polk,NorthCarolina,USA,orWymondham,Norfolk,England.

• Listchildreninorderofbirth,whetherlivingordeceased.Numbereachchild(3,4,5,andsoon).