Parish Registration Form-ENG Date* MM slash DD slash YYYY Family Last Name* Address* Street Address Address Line 2 City ZIP Code Home Phone #*Marital Status Single Married Divorced Widowed Where you married in the Catholic church by Priest/Deacon? Yes Were you married Civilly or Lawfully? Yes Date of Marriage MM slash DD slash YYYY Head of HouseholdName (indicate Male or Female)* First Last Birth Date* MM slash DD slash YYYY Religion Cell #Email Sacraments ReceivedPlease check if received Baptism First Communion Confirmation None Spouse InformationName First Last Birth Date MM slash DD slash YYYY Religion Cell #Email Sacraments ReceivedPlease check if received Baptism First Communion Confirmation None General InformationWould you like to receive envelopes? Yes No Language English Bilingual Additional Household Members? Yes No Household MembersName First Last Relationship Birth Date MM slash DD slash YYYY Sacraments ReceivedPlease check if received Baptism First Communion Confirmation Additional Member Yes No Household Member 2Name First Last Relationship Birth Date MM slash DD slash YYYY Sacraments ReceivedPlease check if received Baptism First Communion Confirmation Additional Member Yes No Household Member 3Name First Last Relationship Birth Date MM slash DD slash YYYY Sacraments ReceivedPlease check if received Baptism First Communion Confirmation Additional Member Yes No Household Member 4Name First Last Relationship Birth Date MM slash DD slash YYYY Sacraments Received*Please check if received Baptism First Communion Confirmation Additional InformationAdditional InformationCAPTCHANameThis field is for validation purposes and should be left unchanged.
