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St. Dominic's Online Registration Form
2390 Bush Street, San Francisco, California 94115 | (415) 567-7824 (Main) | (415) 567-1608 (Fax)
Website:
www.stdominics.org
| Email:
info@stdominics.org
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Today's Date
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MM
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DD
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YYYY
Salutation
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Mr.
Mrs.
Ms.
Miss
Primary Household Member (First, Middle Initial, Last)
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Your answer
I/We would like to register at St. Dominic's Catholic Church
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New Parishioner Registration
New Associate Member Registration (I/We are registered at another parish)
Update my/our current registration with St. Dominic's Catholic Church
Street Address (include Apt or Unit #) or PO Box
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Your answer
City
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Your answer
Zip Code
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Your answer
Best telephone number (###) ###-####
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Your answer
Telephone type
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Cell/Mobile
Home
Work
Primary Email address
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Your answer
Email Type
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Personal
Work
Other
Financial Support of the Parish
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Sign me up for Sunday envelopes
Send me information on the parish's online giving program
I have already signed up with parish's online giving program.
I do not wish to support St. Dominic's Church.
Gender
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Female
Male
Status
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Single
Married
Engaged
Separated
Divorced
Widowed
Prefer not to answer
Birthday (Month/Day/Year)
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MM
/
DD
/
YYYY
Religion
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Roman Catholic
Christian (non-Catholic)
Non Christian
Occupation (job or profession)
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Your answer
If there are no other members of this household, scroll to the bottom of this Google Form. Otherwise, please continue.
Additional members for this household.
Salutation of second household member
Mr.
Mrs.
Ms.
Miss
Clear selection
Second household member (First, Middle Initial, Last)
Your answer
Relationship
Spouse/Significant other
Child (newborn - 17)
Young Adult (18-24)
Adult in residence
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Gender
Female
Male
Clear selection
Birthday (Month/Day/Year)
MM
/
DD
/
YYYY
Status
Single
Married
Engaged
Separated
Divorced
Prefer not to answer
Clear selection
Religion
Roman Catholic
Christian (non-Catholic)
Non Christian
Clear selection
Occupation (job or profession)
Your answer
Salutation of third household member
Mr.
Mrs.
Ms.
Miss
Clear selection
Third household member (First, Middle Initial, Last)
Your answer
Relationship
Child (newborn to 17)
Young Adult (18-24)
Adult in residence
Clear selection
Gender
Female
Male
Clear selection
Birthday (Month/Day/Year)
MM
/
DD
/
YYYY
Religion
Roman Catholic
Christian (non Catholic)
Non Christian
Clear selection
Occupation (job or profession)
Your answer
Salutation of fourth household member
Mr.
Mrs.
Ms.
Miss
Clear selection
Fourth household member (First, Middle Initial, Last)
Your answer
Relationship
Child (newborn to 17)
Young Adult (18-24)
Adult in residence
Clear selection
Gender
Female
Male
Clear selection
Birthday (Month/Day/Year)
MM
/
DD
/
YYYY
Religion
Roman Catholic
Christian (non Catholic)
Non Christian
Clear selection
Occupation (job or profession)
Your answer
Ministries, Groups and Programs
Please visit our website
www.stdominics.org
for information on the many ministries, groups and programs here at St. Dominic's Catholic Church.
I/We commit to being active, participating and contributing members of St. Dominic's Catholic Church and Community
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Yes!
No, we are registering just for the programs and sacraments offered here.
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