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St. Gerald Family Information Form
Please fill out one per household
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* Indicates required question
Email
*
Your email
Background Information:
Name (male adult) (first, middle, last)
Your answer
Male Date of Birth
MM
/
DD
/
YYYY
Name (female adult) (first, middle, last)
Your answer
Female Date of Birth
MM
/
DD
/
YYYY
Address (including City, State and Zip Code)
*
Your answer
Home Phone Number
Your answer
Male Mobile Number
Your answer
Female Mobile Number
Your answer
Is your phone number unlisted?
*
Yes
No
Preferred Contact Number
*
Home #
Male Mobile #
Female Mobile #
Other:
Male Email Address
Your answer
Female Email Address
Your answer
Preferred Mailing Name (example: Mr. and Mrs. Jones)
Your answer
Male Employer
Your answer
Male Occupation (if retired, former occupation)
Your answer
Female Employer
Your answer
Female Occupation (if retired, former occupation)
Your answer
Sacrament Information for Adults
Please check sacraments received
Baptism
First Communion
Confirmation
Male
Female
Baptism
First Communion
Confirmation
Male
Female
Marriage Date
Your answer
Marriage Place
Your answer
Is marriage recognized as valid by the Catholic Church?
Yes
No
Unsure
Not Applicable
Clear selection
If spouse is not Catholic, Spouse denomination
Your answer
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