Saint Francis Xavier Parish Registration Form
My name is:
If applicable, my spouse is:
Preferred Salutation:
Date of Birth:
(Optional)
MM
/
DD
/
YYYY
Our/My Address is:
Phone:
Cell:
Email Address:
If there is an emergency and we need to contact a family member or friend on your behalf, who do you want us to contact:
Name:
Relationship:
Telephone #1
Telephone #2
If applicable, our children are:
Full Name:
Child 1
Date of Birth
Child 1
Full Name:
Child 2
Date of Birth
Child 2
Full Name:
Child 3
Date of Birth:
Child 3
Full Name:
Child 4
Date of Birth:
Child 4
Full Name:
Child 5
Date of Birth
Child 5
Full Name:
Child 6
Date of Birth:
Child 6
Would you like Offertory envelopes:
If you do not want to receive envelopes, but still would like to have an envelope number, you can do so. If you use the number every time you make a donation, we can provide you with a letter for your taxes at the end of the year. Do you want to be assigned an envelope number?
Any additional information you may need:
Submit
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