Family Registration Form Use This Form If Married And Have Children
Gesu Roman Catholic Parish
2049 Parkside Boulevard + Toledo, OH 43607 + 419-531-1421
Title (Mr. & Mrs., Ms, Dr., etc.) *
Your answer
Name *
First Name (s) and Last Name
Your answer
Mailing Address: *
Your answer
City: *
Your answer
State: *
Your answer
Zip Code: *
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Phone Number: *
Your answer
Family Email *
Your answer
Would you prefer envelops or have direct giving (automatic withdrawal): *
Required
Individual Member Information *
Role:
Required
Name / Nickname
Your answer
Maiden Name (if applicable)
Your answer
Gender *
Required
Date of Birth *
MM
/
DD
/
YYYY
What Is Your Wedding Date
MM
/
DD
/
YYYY
Church Name/City
Your answer
Religion *
Your answer
Email address *
Your answer
Sacraments
What Church Did You Receive Your Sacraments?
Your answer
Spousal Information *
Role:
Required
Name / Nickname *
Your answer
Maiden Name (if applicable)
Your answer
Gender *
Required
Date of Birth *
MM
/
DD
/
YYYY
Religion *
Your answer
Email address *
Your answer
Sacraments
What Church Did You Receive Your Sacraments?
Your answer
Children 17 & Under Living At Home - First and Last Name
Your answer
Gender
Date of Birth
MM
/
DD
/
YYYY
Children 17 & Under Living At Home - First and Last Name
Your answer
Gender *
Required
Date of Birth
MM
/
DD
/
YYYY
Children 17 & Under Living At Home - First and Last Name
Your answer
Gender
Date of Birth
MM
/
DD
/
YYYY
List Additional Children Under The Age of 17
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Comments
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