coppfamilyny.com

Reuniting Families of Yesteryear For Tomorrow

Family History Form

Family History Form

Please fill out this form if you want to submit your family information.

Name(s)_______________________________maiden

              _____________________________married

                _________________spouse/significant other

__________________children ____age

__________________children  ____age

             __________________children  ____age

__________________children  ____age

__________________children  ____age

__________________ children ____age

Current Addresses

Street______________City____________St____Zip______

Phone____________________CellPhone_______________

 


Career Info: If you care to share what you do for a living please write it in here

_______________________________________________________________________________________

_______________________________________________________________________________________

_______________________________________________________________________________________

Education:_______________________________________________________________________________

_______________________________________________________________________________________

Family Activities________________________________________________________________________________

_______________________________________________________________________________________

Children, Grand Children and Family Highlights:____________________________________________________________________

_______________________________________________________________________________________

_______________________________________________________________________________________

Email Address_________________________________________________________________________________

 

Survey Question:

If the family was able to organize a family reunion would you attend? ___yes ___no

Would you be interested in serving on a committee should we have a reunion? ___yes ___no 

If yes what area would you most likely be interested in? ____mailing_____site prepartion____games_____food preparation____fundraising___finance___promotion____history____decorations_____.

We appreciate your participation in this Email and Family History Worksheet. Please print and send to: News at Copp Family Newsletter, c/o Karen Phillips, 134 Jeff Drive, Crestview, FL 32536 or email your answers to news@stierads.com. If you do not want any or all of your information published please indicate that below.

I ______________________________agree to have my information above listed on the CoppFamilyNY website and database with the intent of sharing said informaiton to our relatives. This information will be made publc and I am aware of this by signing.

I___________________________do not agree to have my information listed on the website but am sending it to the editor, Karen Phillips for the sole purpose of keeping touch via mail or email for updates on our family history and reunion information.