Page #:
Transcription:

Baptism Date:
Church:    County:
Birth Year:    Gender:

Child’s Name
First Name:   Last Name:   Alternate Last Name:

Mother’s Name
First Name:   Alternate First Name:   Last/Presumed Last Name:

Mother’s Enslaver
First Name:   Last Name:

Father’s Name
First Name:  Alternate First Name:  Last Name:

Father’s Enslaver
First Name:   Last Name:

Birth Date:   Age at Baptism:

Female Sponsor
First Name: Presumed Last Name:
Enslaver First Name: Enslaver Last Name: FALSE

Male Sponsor
First Name: Presumed Last Name:
Enslaver First Name: Enslaver Last Name:

Notes:

Enslaved by Agent of the Church?