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?
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