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Parish Registration

Family Name
Today's Date //
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Last Name
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Please check your status
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Address
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Primary Phone --
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Secondary Phone --
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Email Address
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Husband Name
Husband Name
  •  
Birth Date //
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Sacraments Completed
  •  
Sacrament Dates
  •  
 Please indicate the dates when you received each sacrament
Occupation
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Wife Name
Wife Name
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Maiden Name
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Birth Date //
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Sacraments Completed
  •  
Sacrament Dates
  •  
 Please list the dates and place receiving each sacrament
Occupation
  •  
Child 1
Child's Name
  •  
Birth Date //
  •  
Gender
  •  
Grade
  •  
School
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Sacraments Completed
  •  
Sacrament Dates
  •  
 Please list the dates and place receiving each sacrament.
Child 2
Child's Name
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Birth Date //
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Gender
  •  
Grade
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School
  •  
 Please reference the Class information at the top of this page.
Sacraments Completed
  •  
Sacrament Dates
  •  
 Please list the dates and place receiving each sacrament.
Child 3
Child's Name
  •  
Birth Date
  •  
Gender
  •  
Grade
  •  
School
  •  
Sacraments Completed
  •  
Sacrament Dates
  •  
 Please list the dates and place receiving each sacrament.
Child 4
Child's Name
  •  
Birth Date
  •  
Gender
  •  
Grade
  •  
School
  •  
Sacraments Completed
  •  
Sacrament Dates
  •  
 Please list the dates and place receiving each sacrament.
Child 5
Child's Name
  •  
Birth Date
  •  
Gender
  •  
Grade
  •  
School
  •  
Sacraments Completed
  •  
Sacrament Dates
  •  
 Please list the dates and place receiving each sacrament.
Marriage Information
Marriage Date
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Marriage Parish/ Location
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Remarks or General Information
Remarks or General Information
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