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Registration

Page history last edited by PBworks 12 years, 8 months ago

New Parishioner Registration Form

 

Please print form, provide all information, and return to parish office at the rectory during the week.

 

Family Name: ____________________________________________

 

 

Address: _________________________________ Apt. __________

 

 

City: ________________________ State: ________ ZIP: ________

 

 

Telephone: _________________ Years in this Parish __________

 

 

Tenant: __________ Owner: __________

 

 

List Only Those Living With You

 

Print Name, Date of Birth, Religion, School or Occupation

 

 

Husband: _______________________________________________

 

 

Wife: __________________________________________________

 

 

Child: __________________________________________________

 

 

Child: __________________________________________________

 

 

Child: __________________________________________________

 

 

Child: __________________________________________________

 

 

Child: __________________________________________________

 

 

Child: __________________________________________________

 

 

Others Living WIth You, How Related: _____________________

 

 

________________________________________________________

 

 

________________________________________________________

 

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