Full First Name/Nick Name:  

Last Name:                  

Occupation:                 

Birthdate:                  

Spouse's Name/Nick Name:    

Spouse Occupation:          

Spouse's Birthdate:         

Date of Marriage:           

Interesting stuff about your family:

Kids' names/birthdates:

Kids' interests/achievements:

Address 1:                  

Address 2:                  

City:                       

State/Province/zip code:             

E-Mail Address:             

URL:                        

Are there any dates that DON'T work for your family on the following list of weekends?

Which events would you attend or be interested in? This will help us determine what kind of price breaks we can get. Check all that apply:

Need Motel

Friday night
Saturday night

Bartz family mystery you want solved:

Any other questions, comments, ideas?:

Go back to the
Bartz Family Reunion Homepage.