New Members Form
New Member Form for Jesus the Good Shepherd Catholic Community
1601 W.Mt. Harmony Rd.
Owings, MD 20736
www.ccjgs.org

Filling out this Membership form registers you in the Covenant Community of Jesus the Good Shepherd, a parish of the Roman Catholic Archdiocese of Washington.
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Family Name *
Prefix
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First Name *
Middle Initial
Last Name *
Mailing Address *
City, State, Zip *
Phone Number (home)
Phone Number (cell) *
Do you want to have your number listed in the directory. *
Email address *
At which parish are you currently registered (if any)? Please include parish name, city, and state.
Individual One
(On this page, please provide information about the primary adult Catholic seeking church membership. If there are two adult Catholics, please list the second as Individual Two.)
Last Name *
First Name *
Middle Initial
Sex *
Date of Birth *
MM
/
DD
/
YYYY
Ethnicity *
Required
Religion *
If Catholic, are you a convert? *
Has this person been baptized? *
Has this person been confirmed? *
How often does this person attend Mass *
Required
Marital Status *
If married, is this marriage recognized by the Catholic Church? *
Grade of School Completed- Elementary through High School *
Years of College Completed *
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