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Parish Registration
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* Indicates required question
Family name:
*
Your answer
Street address:
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Your answer
Mailing address if different:
Your answer
Head of household: First name
*
Your answer
Date of birth:
*
MM
/
DD
/
YYYY
Religion:
*
Your answer
Confirmed? If yes, name of parish and its city and state.
*
Your answer
Marital status:
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Your answer
If married, in which parish were you married (include city and state) and what was the date?
Your answer
Cell Phone and Email:
*
Your answer
Spouse: First name and maiden name if applicable
Your answer
Date of birth:
MM
/
DD
/
YYYY
Religion:
Your answer
Confirmed? If yes, name of parish and its city and state.
Your answer
Cell Phone and Email
Your answer
Dependent children in household (List first name, date of birth, and last name if different from head of household.)
Your answer
What sacraments have each of your children received?
Are any in need of Religious Education / Sacramental Prep? Please identify.
Your answer
Would you like Offertory envelopes to be sent to you?
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Yes
No
Would you like information regarding Online Giving?
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Yes
No
Do you have any questions for us? Are you yourself in need of Religious Education / RCIA?
Your answer
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