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Parishioner Registration Form
Please complete this form to register at St. Charles. You can reach out to the parish office if you have any questions at 509-327-9573.
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* Indicates required question
First Name
*
Your answer
Last Name
*
Your answer
Spouse Name
Your answer
Spouse Last Name
Your answer
Address
*
Your answer
City, State, Zip
*
Your answer
Email Address
*
Your answer
Spouse Email Address
Your answer
Do you want contribution envelopes mailed to your home?
*
Yes
No
I already receive envelopes.
Would you like to be added to flocknote to receive bulletins and other information by email?
Yes
No
I am already on flocknote.
Clear selection
Phone Number
*
Your answer
Spouse Phone Number
Your answer
Marital Status
*
Married
Single
Divorced
Separated
Widow/Widower
If married, is it a Catholic marriage?
Yes
No
Clear selection
Occupation
Your answer
Spouse Occupation
Your answer
Date of Birth
MM
/
DD
/
YYYY
Spouse Date of Birth
MM
/
DD
/
YYYY
Are you Baptized? If so, please provide date.
Your answer
Have you received 1st Communion? If so, please provide date.
Your answer
Have you been Confirmed? If so, please provide date.
Your answer
Is your spouse Baptized? If so, please provide date.
Your answer
Has your spouse received 1st Communion? If so, please provide date.
Your answer
Has your spouse been Confirmed? If so, please provide date.
Your answer
Child 1 Name
Your answer
Child 1 Date of Birth
MM
/
DD
/
YYYY
Is Child 1 Baptized? If so, please provide date.
Your answer
Has Child 1 received 1st Communion? If so, please provide date.
Your answer
Has Child 1 been Confirmed? If so, please provide date.
Your answer
Child 2 Name
Your answer
Child 2 Date of Birth
MM
/
DD
/
YYYY
Is Child 2 Baptized? If so, please provide date.
Your answer
Has Child 2 received 1st Communion? If so, please provide date.
Your answer
Has Child 2 been Confirmed? If so, please provide date.
Your answer
Child 3 Name
Your answer
Child 3 Date of Birth
MM
/
DD
/
YYYY
Is Child 3 Baptized? If so, please provide date.
Your answer
Has Child 3 received 1st Communion? If so, please provide date.
Your answer
Has Child 3 been Confirmed? If so, please provide date.
Your answer
Child 4 Name
Your answer
Child 4 Date of Birth
MM
/
DD
/
YYYY
Is Child 4 Baptized? If so, please provide date.
Your answer
Has Child 4 received 1st Communion? If so, please provide date.
Your answer
Has Child 4 been Confirmed? If so, please provide date.
Your answer
Child 5 Name
Your answer
Child 5 Date of Birth
MM
/
DD
/
YYYY
Is Child 5 Baptized? If so, please provide date.
MM
/
DD
/
YYYY
Has Child 5 received 1st Communion? If so, please provide date.
Your answer
Has Child 5 been Confirmed? If so, please provide date.
Your answer
If you have more children, please list their names, DOBs, Baptism, 1st Communion and Confirmation information below.
Your answer
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