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Church Registration Form

Please fill out the form and click the "Send" button.
Use the TAB key to move between the entries.  Welcome!

Date
Family Last Name
Address
City, State Zip
Phone    Unlisted? Yes No
May we publish in the church directory? Yes No
Would like to volunteer for ...
Occupation/Profession
Comments/Remarks

Please tell us about your family:

Adult #1:
First Name
Last Name (if different)
Marital Status
Gender Male Female
Birth Date
Baptized Yes No
1st Confession Yes No
1st Communion Yes No
Confirmation Yes No
Valid Catholic Marriage?
Place of Marriage		 Yes No
Religion
Adult #2:
First Name
Last Name (if different)
Marital Status
Gender Male Female
Birth Date
Baptized Yes No
1st Confession Yes No
1st Communion Yes No
Confirmation Yes No
Valid Catholic Marriage?
Place of Marriage		 Yes No
Religion
Child #1:
First Name
Last Name (if different)
Marital Status
Gender Male Female
Birth Date
School Grade
Religion
Baptized Yes No
1st Confession Yes No
1st Communion Yes No
Confirmation Yes No
Valid Catholic Marriage?
Place of Marriage

 

 Yes No
Child #2:
First Name
Last Name (if different)
Marital Status
Gender Male Female
Birth Date
School Grade
Religion
Baptized Yes No
1st Confession Yes No
1st Communion Yes No
Confirmation Yes No
Valid Catholic Marriage?
Place of Marriage		 Yes No

To enter more children, keep scrolling down ... 

If you are finished, click here ...

Child #3:
First Name
Last Name (if different)
Marital Status
Gender Male Female
Birth Date
School Grade
Religion
Baptized Yes No
1st Confession Yes No
1st Communion Yes No
Confirmation Yes No
Valid Catholic Marriage?
Place of Marriage		 Yes No
Child #4:
First Name
Last Name (if different)
Marital Status
Gender Male Female
Birth Date
School Grade
Religion
Baptized Yes No
1st Confession Yes No
1st Communion Yes No
Confirmation Yes No
Valid Catholic Marriage?
Place of Marriage		 Yes No
Child #5:
First Name
Last Name (if different)
Marital Status
Gender Male Female
Birth Date
School Grade
Religion
Baptized Yes No
1st Confession Yes No
1st Communion Yes No
Confirmation Yes No
Valid Catholic Marriage?
Place of Marriage		 Yes No

If you have more than 5 children, please call or bring the information to the church.

 

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