ST. ANTHONY DANIEL PARISH REGISTRATION

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Thank you for registering as a member of our parish community

Email *

LAST NAME *

MAILING ADDRESS *

PHONE NUMBER *

NAMES OF ALL WHO LIVE IN THE HOME
(& RELATIONSHIP TO REGISTRANT )

Please enter (in brackets) the relationship of each individual to the one completing this form. Please also include the age of any children living in the home.

REGISTRATION HISTORY AT THIS PARISH *

I have registered myself / my family within the last year

I have registered myself/ my family more than a year ago

I have never registered myself / my family at this parish

CONTRIBUTIONS TO THE PARISH *

I / We currently receive envelopes

I / We wish to receive envelopes

I / We do not wish to use envelopes

I / We are currently on the pre-authorized system

I / We wish to be added to the pre-authorized system

I/We would like to donate through CanadaHelps

Required

NAME FOR TAX RECEIPTS: *

Send me a copy of my responses.

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