St. Stephen Church Registration Update
This our registration form. All information will be used for Parrish purposes.

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HOUSEHOLD Last Name *
HOUSEHOLD ADDRESS & ZIP CODE *
HOUSEHOLD LANDLINE #
ADULT # 1   First & Last NAME   *
ADULT # 1  (Area code) & Cell Number
ADULT # 1 BIRTHDAY *
MM
/
DD
/
YYYY
ADULT # 1 EMAIL   *
Adult  # 1     Sacraments *
Required
ADULT # 2  First and Last Name
ADULT  # 2     (Area Code) & Cell Number
ADULT # 2  BIRTHDAY
MM
/
DD
/
YYYY
Adult  # 2   Sacraments
WEDDING ANNIVERSARY
MM
/
DD
/
YYYY
Catholic Marriage  (Name & State of Church) & Date of Marriage
Civil Marriage      
MM
/
DD
/
YYYY
Civil Marriage      
CHILD # 1  Name & Date of Birth
Check completed SACRAMENTS:  
CHILD # 2  Name & Date of Birth
Check completed SACRAMENTS:  
CHILD # 3  Name & Date of Birth
Check completed Sacraments;
CHILD #  4 Name & Date of Birth
Check completed SACRAMENTS:  
CHILD #5  Name & Date of Birth
Check completed Sacraments
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