Covington History Questionnaire

THE COVINGTON DATABASE QUESTIONNAIRE

Tell me about yourself and your family so I can include you in the Covington History database. Please only include information that you are happy for me to publish on the Covington History website.

[FrontPage Save Results Component]

First name		Last name
Date of birth		Place of birth
Father's name		Fathers date of birth
Father's place of birth		Mother's name, maiden name, date & place of birth
Parents Marriage date		Parents Marriage location
Parents death dates, places, age
Father's brothers and sisters names, dates and places of birth (if applic)
Brothers and sisters names, dates and places of birth (if applic)
Spouses Name (if applic) & date/place of birth
Marriage date and place (if applic)
Children names, dates and places of birth (if applic)
Grandparents names, dates and places of birth, details of marriage, death (if applic)
Other Descendents?
Street address		City
State/Province		Zip/Postal Code
Country		Phone
E-mail		Occupation

Any other comments?. Please type in the space provided below:

Click on my parents Wedding Photo to

Return to Covington History Main Page

Martin H Covington. Copyright 2000 [MHC Agency]. All rights reserved. Revised: October 12, 2005 .

Martin H Covington.
Copyright 2000 [MHC Agency]. All rights reserved.
Revised: October 12, 2005 .