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2024-10-04T11:53:36-05:00
Parish Registration Form
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St. Mary's
Ss. Peter & Paul
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Last Name
Mailing Name
Address
City
State
Option
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Armed Forces (AA)
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Armed Forces (AP)
Zip Code
Home Phone
His Cell Phone
Her Cell Phone
Family Email
Status
Single
Married
Widowed
Seperated
Divorced
Annulled
Date Married
Were you married by a Priest?
Yes
No
If not, would you like to have your marriage blessed?
Yes
No
Individual Member Information
First Name
Nickname
Maiden Name
Gender
Male
Female
Date of Birth
Religion
Email
Occupation
Employer
Work Phone
Sacramental Information:
Baptism
Yes
No
If yes, where:
Reconciliation
Yes
No
Eucharist
Yes
No
Confirmation
Yes
No
Individual Member Information
First Name
Nickname
Maiden Name
Gender
Male
Female
Date of Birth
Religion
Email
Occupation
Employer
Work Phone
Sacramental Information:
Baptism
Yes
No
If yes, where:
Reconciliation
Yes
No
Eucharist
Yes
No
Confirmation
Yes
No
Dependent Children Information
First Name
Last Name
Gender
Male
Female
Date of Birth
Birthplace
Grade
School
Sacramental Information:
Baptism
Yes
No
If yes, where:
Reconciliation
Yes
No
Eucharist
Yes
No
Dependent Children Information
First Name
Last Name
Gender
Male
Female
Date of Birth
Birthplace
Grade
School
Sacramental Information:
Baptism
Yes
No
If yes, where:
Reconciliation
Yes
No
Eucharist
Yes
No
Dependent Children Information
First Name
Last Name
Gender
Male
Female
Date of Birth
Birthplace
Grade
School
Sacramental Information:
Baptism
Yes
No
If yes, where:
Reconciliation
Yes
No
Eucharist
Yes
No
Dependent Children Information
First Name
Last Name
Gender
Male
Female
Date of Birth
Birthplace
Grade
School
Sacramental Information:
Baptism
Yes
No
If yes, where:
Reconciliation
Yes
No
Eucharist
Yes
No
Dependent Children Information
First Name
Last Name
Gender
Male
Female
Date of Birth
Birthplace
Grade
School
Sacramental Information:
Baptism
Yes
No
If yes, where:
Reconciliation
Yes
No
Eucharist
Yes
No
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