William and Sarah Head Family Inc. Update of Family Information (Please print clearly) Your Name.................................................................................................................................... Title Christian Names Surname Postal Address .............................................................................................................................. ............................................................................................................................. Email ............................................................................................................................................. Phone number /s .......................................................................................................................... ________________________________________________________________________________________ Notification of a Birth Name of Child ................................................................................................................................ Christian names Date of Birth .............................................. Surname Branch of Head Family .......................................................... Name of Mother ....................................................................................................... Name of Father ......................................................................................................... Name of Grandparent on Family Tree ...................................................................... ________________________________________________________________________________________ Notification of a Marriage Name of Bride .................................................................................................................................. Christian names Surname Name of Groom ................................................................................................................................ Christian names Surname Date of Wedding ................................................. Branch of Head Family ......................................... Name of Parent on Family Tree ...................................................................... Surname of Bride after marriage ...................................................................... ________________________________________________________________________________________ Notification of a Death Name of Deceased .............................................................................................................................. Christian names Date of Death ................................................. Surname Branch of Head Family ........................................................ Name of parent on family tree ...................................................................... __________________________________________________________________________________________ I wish to have my notification printed in the next family newsletter Please post at your earliest convenience to: The Records Secretary William and Sarah Head Family Tree P.O.Box 275 Ashburton. 3147 YES / NO