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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