Please Register your Family in order that we can maintain historical records. This information is not shared with anyone or agency. This is strictly for the historical record of our family.

Click here for a word document to download and fill out and e-mail back to Julie.

 

Full Name:

 

Maiden Name:

 

Spouse Name:

 

Address:

 

 

 

City of Birth:

 

Birth date:

 

Siblings:

 

Children with Ages:

 

 

 

Mother’Äôs Name:

 

Father’Äôs Name:

 

 

 

Branch of Family (if known)

 

 

This information can be e-mailed to Julie Padberg-White at julie@vantagemgmt.com

Or faxed to my personal private fax at 314-865-5090.

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