Family Information Form

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Participant(s) Full Name(s):

Address of Film Location:

Phone Number of Participant(s):

Family Contact: Name Phone Number Email:

Participant(s) Date of Birth:

Date of Immigration to Canada (if applicable):

Important Dates to The Family (Immigration Date, Anniversaries, Family Business Start Dates etc):

Names of Participant(s) Children (Chronological Order):

Participants # of Grandchildren and # of Great Grandchildren:

Your Thoughts on Areas of Focus/ Themes for The Digital Legacy Video:

3 Words That Describe Participant(s):

Important Family Traditions:

1 Question You Have Always Wanted to Ask Them:

Any Other Information (Share Here):