Parish Registration Form
Mailing Name
(i.e. Mr. & Mrs. John Doe)
Your answer
Phone
Your answer
Address:
(street, town, zip code)
Your answer
e-mail address
Your answer
Do you wish to receive the free Vermont Catholic Magazine?
Husband's name
Your answer
Husband's religion
Your answer
Husband's date of birth
Your answer
Husband's occupation,work location and daytime phone
Your answer
Husband's sacraments received
Wife's name
Your answer
Wife's religion
Your answer
Wife's date of birth
Your answer
Wife's occupation, work location and daytime phone
Your answer
Wife's sacraments received
Date of Marriage
Your answer
Was this a Catholic marriage?
Please list any children at home
Include name, birthdate, grade in school and sacraments received
Your answer
Would you like a visit from the priest?
Thank you!
Your answer
Submit
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