Parishioner Registration
Mary, Queen of Heaven Catholic Church
Head of Household (HOH)
Head of Household Full Name (first, middle, last)
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Address
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City, State, Zip
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Home Phone
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Head of Household Religion
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Head of Household Cell Phone
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Head of Household Work Phone
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Head of Household Email
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Head of Household Gender
Head of Household Date of Birth
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DD
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Head of Household Occupation
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Head of Household Ethnicity
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Present Status
If married, ceremony was:
Anniversary Date, if married
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YYYY
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