Parish Registration

Basic Information
Date //
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Family Name
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Home Phone --
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Address
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Cell Phone --
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Email
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Work Phone --
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Mailing Address (If Different From Above)
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Household Information
Adult MaleName
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Date of Birth //
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Adult Female Name
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Date of Birth //
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Wedding Anniversary Date //
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Marital Status
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Adult Male/Female (List Religion other than Catholic)
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Name of Child in Home 18 or Younger
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Religion of Child Abve if Other Than Catholic
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Date of Birth //
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Sacramental Information (Mark if Completed)
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Name of Child in Home 18 or Younger
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Religion of Child Above if Other Than Catholic
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Date of Birth //
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Sacramental Information (Mark if Completed)
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Name of Child in Home 18 or Younger
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Rligion of Child Above if Other Than Catholic
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Date of Birth //
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Sacramental Information (Mark if Completed)
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Name Of Child in Home 18 or Younger
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Religion of Child Above if Other Than Catholic
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Date of Birth //
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Sacramental Information (Mark if Completed)
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Name of Child in Home Younger Than 18
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Religion of Child Above if Other Than Catholic
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Date of Birth //
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Sacramental Information (Mark if Completed)
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