NOTRE DAME PARISH REGISTRATION
Please Complete this Form to Register as a Member of the Notre Dame Church
Email address *
Envelope # (Office Use Only)
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CONTACT INFORMATION
Last Name *
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Street Address, City, State, Zip *
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Phone / Alt. Phone / Cellular Phone (indicate for each) *
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Email Address(es) *
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Resident *
Notre Dame School Family *
HEAD OF HOUSEHOLD
Member Name *
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Male/Female *
Date of Birth *
MM
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DD
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YYYY
Salutation
Religious Afflilation *
Highest Grade Completed
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Family Status *
Occupation *
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Place of Employment *
Your answer
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
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SPOUSE
Member Name
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Maiden Name
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Different Last Name?
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Date of Birth
MM
/
DD
/
YYYY
Salutation
Religious Affiliation
Highest Grade Completed
Your answer
Family Status
Occupation
Your answer
Place of Employment
Your answer
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
Your answer
CHILDREN
Child's Full Name (if last name different, please include)
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Date of Birth
MM
/
DD
/
YYYY
Sacraments Received
School Attending
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Grade Level
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Child's Full Name (if last name different, please include)
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Date of Birth
MM
/
DD
/
YYYY
Sacraments Received
School Attending
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Grade Level
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Child's Full Name (if last name different, please include)
Your answer
Date of Birth
MM
/
DD
/
YYYY
Sacraments Received
School Attending
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Grade Level
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Please Include Addt'l Children Below
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A copy of your responses will be emailed to the address you provided.
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