Orillia Portraits

The Orillia Museum of Art and History is seeking your participation in creating a public database of Orillians who helped shape our city. From masons to store clerks, sports teams to club leaders, tourists to factory workers. Do you know someone who left a footprint on our city? If you are interested in sharing your story or that of a loved one, please fill out the form below.

1. Contributor Information

Name *

Address *

Phone *

Email *

Your connection to Individual *

Do you have any relevant documents we might find interesting? *

Yes

If there are any photos of this person that you wish to contribute, please submit it to the museum through our website or email to collections@orilliamuseum.org.

2. Basic Information of Individual

Full Name *

Date of Birth

Month

Day

Year

Birthplace

Date of Death

Month

Day

Year

Place of Death

Burial Place

Primary Residence Address

3. Family Information of Individual

Spouse(s)

Parents

Siblings

Children

Current/Principal Occupation

4. Occupational Information

Additional Occupation(s)

Volunteer Work

Connection to Orillia

Important Contribution(s)

Relevant Documents

Upload any relevant Photos or PDF/Word documents.

Terms & Conditions *

Terms & Conditions

By submitting this form I agree to the Orillia Portrait Terms & Conditions.