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Give to Mary Queen of Peace
Give to St. George Mission'
Parish Registration
Registration
Mr., Mrs., Miss, Ms, Rank, Title
First Name
Middle Name
Last Name
Your Date of Birth
Your Religion
Date of Your Baptism
Date of Your First Communion
Date of Your Confirmation
Your Years of Education
Marital Status
Married
Single
Divorced
Separated
Widowed
Married by whom: Priest, Minister, etc.
Date of Marriage
Spouse Information
Spouse's First Name
Spouse's Middle Name
Spouse's Last Name
Spouse's Date of Birth
Spouse's Religion
Spouse's Date of Baptism
Date First communion
Years of Education
Spouse's Date of Confirmation
Address
Street
City
State
Zip Code
Daytime Phone
Evening Phone
E-mail Address
For child #1 please list full name, dob, religion, dates of baptism, first communion, confirmation, and years of education.
For child #2 please list full name, dob, religion, dates of baptism, first communion, confirmation, and years of education.
For child #3 please list full name, dob, religion, dates of baptism, first communion, confirmation, and years of education.
For child #4 please list full name, dob, religion, dates of baptism, first communion, confirmation, and years of education.
For child #5 please list full name, dob, religion, dates of baptism, first communion, confirmation, and years of education.
For child #6 please list full name, dob, religion, dates of baptism, first communion, confirmation, and years of education.
Please list all family church interests: Extraordinary Minister of Holy Communion, Lector, Usher, Altar Server, P.S.R., Youth Group, RCIA, Choir, Children's Liturgy, Bereavement Group, Hospital/Nursing Home/Hospice Ministry, Building & Maintanence, Liturgy & Worship, Socials, Ladies' Guild, Parish Life, Social Concerns, St. Vincent de Paul, Knights of Columbus, Teaching, Clerical, Domestic or skilled help/ Catholic Daughters, Immaculate Conceptiion, etc.
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Location
Mary, Queen of Peace Catholic Church
7738 Barksdale Blvd
Bossier City, LA 71112
St. George Catholic Church
3076 Highway 155
Coushatta, Louisiana, 71019
Telephone: (318) 752-5971
FAX: (318) 752-5973
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