Roots

We know it’s not fair … but if you are one of the ‘originals’ (Carole, Vince, Bob, Anne, Richard or Michael) we already have this information … so you’re off the hook.

Your Name *

First – Middle – Last (Maiden name if female)

Email *

Your Birthdate *

MM/DD/YYYY

Your Birthplace

If married – your spouses' name

First – Middle – Last (Maiden name if female)

Spouses' Birthdate

MM/DD/YYYY

Spouses' Birthplace

If children – Child 1 Name

First – Middle – Last

Child 1 Birthdate

MM/DD/YYYY

Child 1 Birthplace

If children – Child 2 Name

First – Middle – Last

Child 2 Birthdate

MM/DD/YYYY

Child 2 Birthplace

If children – Child 3 Name

First – Middle – Last

Child 3 Birthdate

MM/DD/YYYY

Child 3 Birthplace

If children – Child 4 Name

First – Middle – Last

Child 4 Birthdate

MM/DD/YYYY

Child 4 Birthplace

If children – Child 5 Name

First – Middle – Last

Child 5' Birthdate

MM/DD/YYYY

Child 5 Birthplace

Submit