Parish Registration Form
Family Name *
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Street Address
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City
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State
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Zip
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Home Phone
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Email
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Head of Household Name
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Religion
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 Head of House Birthdate
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Employment
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Home Phone
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Mobile Phone
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Sacraments Recieved
Matrimony Date (if any)
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Spouse Name (if any)
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Religion
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Spouse'sBirthdate
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Home Phone
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Mobile Phone
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Sacraments Recieved
Matrimony Date (if any)
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Employment
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Other Adults (if any) (please specify relationship to head of household)
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Religion
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Birthdate
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Employment
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Home Phone
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Mobile Phone
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Sacraments Recieved
Matrimony Date (if any)
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Children at Home
Name
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Relationship to head of household
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Religion
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Birthdate
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School Name
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Grade Level
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Sacraments Recieved
Next Child
Name
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Relationship to head of household
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Religion
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Birthdate
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School name
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Grade Level
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Sacraments Recieved
Next Child
Name
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Relationship to Head of Household
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Religion
Your answer
Birthdate
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School Name
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Grade Level
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Sacraments Recieved
Next Child
Name
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Relationship to Head of Household
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Religion
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Birthdate
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School Name
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Grade Level
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Sacraments Recieved
Comments
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