Lets Make History

							                         Let’s Make History!
                       A project of the Port Hope Archives

                                   Registration Form



Street Address:                             Legal Lot Description:




Name of Original Owner(s):




Current Owner(s):                           Name of Current Occupant(s):
                                            if different from owners




Architectural Style or Features:




Name of Builder:                           Year of Construction:
History, Unusual Features:




Other Tales and Tidbits:




Please submit a photograph of the home, to be kept with the project.

By voluntarily submitting this information to the Let’s Make History register, you acknowledge that the Port
Hope Archives may use the contents for the intended project, for use by researchers and future
generations. You also acknowledge that the names of the current occupants are included with their
knowledge and approval.




Signed                                                            Date


Submitted by:

Phone:

Email:

Please note your contact information will only be used to contact you if clarification or additional
information is needed. It will not be made public.