Church of the Holy Rosary Parish Registration Form
First Name *
Your answer
Middle Name *
Your answer
Last Name *
Your answer
MAIDEN NAME ( VERY IMPORTANT)
Your answer
Preferred Name
Your answer
Marital status *
Street address *
Your answer
City State and Zip *
Your answer
E-mail *
Your answer
Home Phone Number
Your answer
Cell Phone Number
Your answer
Work Phone Number
Your answer
Religion
Your answer
For more information on becoming Catholic contact Cheryl Pryor at cheryl@holyrosary.edu .
Occupation
Your answer
Birthdate
MM
/
DD
/
YYYY
Baptized *
If baptized, in what denomination ?
Date of Baptism
MM
/
DD
/
YYYY
Would you like to receive the Tennessee Register Catholic Newspaper ($29/year)? https://holyrosary.weshareonline.org
What is your preferred method of giving?
Do you need to enter information for your spouse, children, or other adults at home? *
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