Parishioner Information Form
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Email *
Are you: *
Details of the Person Filling Out this Form (You)
Your First Name: *
Your Surname: *
Your Middle and Christian Name (if applicable):
Your Contact Number (mobile no. is highly preferred): *
Your Email Address:
Your Home Address (not P.O. Box number):
Your Date of Birth:
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DD
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YYYY
Your Religion:
Your Occupation:
Have You been Baptised: *
Date of Baptism (if you have the information):
MM
/
DD
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YYYY
Have You Received Sacrament of Confirmation:
Clear selection
Date of Confirmation (if you have the information):
MM
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DD
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YYYY
Have You Received Sacrament of Reconciliation:
Clear selection
Date of First Reconciliation (if you have the information):
MM
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DD
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YYYY
Have You Received First Communion:
Clear selection
Date of First Communion (if you have the information):
MM
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DD
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YYYY
Are you completing this form for yourself only, or also for others living at the same address as you? *
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