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

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.

What is a good time for your appointment with our pastor?

Comments

Would you like us to send you offeratory envelopes?

Yes

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