The Bodie Island Homecoming
Your Family & Contact Information
(R) Your Name (first | middle | last)
(R) Your Mailing Address
(R) City
(R) State
(R) Zip
(R) Phone
2nd Phone
(R) E-mail Address
(R) Birthdate

(R) Your Father's Name (first | middle | last)
(R) Your Mother's Name (first | maiden)

Please List the Bodie Island Lighthouse Keeper(s) from whom you are descended:

Keeper #1
(R)Keeper 1 Name (first | middle | last)
(R) Relationship to You
Year Born
Year Died
Years Served
Spouse's Name (first | maiden)
Do you have documents, photos or artifacts from this keeper's life to share? Yes No

Keeper #2
Keeper 2 Name (first | middle | last)
Relationship to You
Year Born
Year Died
Years Served
Spouse's Name (first | maiden)
Do you have documents, photos or artifacts from this keeper's life to share? Yes No

Would your family attend the Descedants Homecoming event in 2012? Yes No

You may provide additional information here.

We will review your family information and get back in touch with you either by phone, email, or postal mail.

If U.S.postal mail is the preferred way to submit your questionnaire, please send your correspondence to:
BOLD Homecoming
c/o The Outer Banks Lighthouse Society
PO Box 1005
Morehead City, NC 28557

You may also correspond by e-mail: BOLD@outer-banks.com