NOTRE DAME PARISH REGISTRATION
Please Complete this Form to Register as a Member of the Notre Dame Church
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Email *
Envelope #   (Office Use Only)
CONTACT INFORMATION
Last Name *
Street Address, City, State, Zip *
Phone / Alt. Phone / Cellular Phone (indicate for each) *
Email Address(es) *
Resident *
Notre Dame School Family *
HEAD OF HOUSEHOLD
Member Name *
Male/Female *
Date of Birth *
MM
/
DD
/
YYYY
Salutation
Religious Afflilation *
Highest Grade Completed
Family Status *
Occupation *
Place of Employment *
NOTRE DAME SERVICE INTERESTS
Ex: Cantor, Eucharistic Minister, Lector, Greeter, Usher, Choir, Parish Council, Finance Council, Rosarians, Men's Club, or feel free to list a special talent you'd like to share
Please List Below
SPOUSE
Member Name
Maiden Name
Different Last Name?
Date of Birth
MM
/
DD
/
YYYY
Salutation
Religious Affiliation
Clear selection
Highest Grade Completed
Family Status
Occupation
Place of Employment
NOTRE DAME SERVICE INTERESTS
Ex: Cantor, Eucharistic Minister, Lector, Greeter, Usher, Choir, Parish Council, Finance Council, Rosarians, Men's Club, or feel free to list a special talent you'd like to share
Please List Below
CHILDREN
Child's Full Name (if last name different, please include)
Date of Birth
MM
/
DD
/
YYYY
Sacraments Received
School Attending
Grade Level
Child's Full Name (if last name different, please include)
Date of Birth
MM
/
DD
/
YYYY
Sacraments Received
School Attending
Grade Level
Child's Full Name (if last name different, please include)
Date of Birth
MM
/
DD
/
YYYY
Sacraments Received
School Attending
Grade Level
Please Include Addt'l Children Below
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