St. Ann Parish Registration Form
Please fill out this form completely. ALL INFORMATION IS CONFIDENTIAL.
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FAMILY Last Name *
Home Phone *
Mailing Address *
Adult #1 (Head of Household)
First, Middle & Last name *
Date of Birth *
MM
/
DD
/
YYYY
Work Phone
Cell Phone *
Email *
Religion *
Received Sacraments *
Required
Adult #2 (Spouse)
First, Middle & Last name
Date of Birth
MM
/
DD
/
YYYY
Work Phone
Cell Phone
Email
Religion
Received Sacraments
Marriage Questions
Marital Status *
Marriage Type
Date of Marriage
MM
/
DD
/
YYYY
Household Questions
Child #1: First, Middle & Last name
Date of Birth
MM
/
DD
/
YYYY
Religion
Received Sacraments
Child #2: First, Middle & Last name
Date of Birth
MM
/
DD
/
YYYY
Religion
Received Sacraments
Child #3: First, Middle & Last name
Date of Birth
MM
/
DD
/
YYYY
Religion
Received Sacraments
Child #4: First, Middle & Last name
Date of Birth
MM
/
DD
/
YYYY
Religion
Received Sacraments
Child #5: First, Middle & Last name
Date of Birth
MM
/
DD
/
YYYY
Religion
Received Sacraments
Are you interested in information on our ministries and groups? *
Would you like to receive offertory envelopes? *
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