Name of Burial Ground:
Burial Ground Type:
(Example: Slave Cemetery, Plantation Cemetery, Freeman Cemetery, Church Cemetery, Family Cemetery)
Burial Ground City:
Burial Ground County:
Burial Ground State:
Years Of Use:
Current condition of this burial ground:
(Example: Excellent, poor, abandoned, etc.)
Estimated number of total graves at this site:
Number of enslaved persons buried at this site:
Are the graves marked?
What family names are associated with this burial ground and the people buried there?
(Example: Last names of - Johnson, Smith, Washington, etc.)
What evidence leads you to conclude that this is a slave burial ground or that slaves are buried at this location:
(Example: Oral Tradition, Historical Documentation, Objects/Info left at the site, etc.)
Current affiliation of this burial ground:
(Church, Family, Independent, Historical Organization, None, etc.)
If needed, can digital pictures of this site be provided?
Please detail any other significant information about this burial ground and its history:
(Examples: websites, newspaper articles, etc.)
Your association with this burial ground:
(Example: Property Owner, Caretaker, Director, etc.)
Has this burial ground been designated or listed on the National Register of Historic Places?
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