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Our Lady of Mount Carmel, Newport News - Parish Registration
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Family Name
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Street Address
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Apt. #
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City
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Zip Code
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Primary Phone
XXX-XXX-XXXX
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Alternate Phone
XXX-XXX-XXXX
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Email
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Family Member 1 - First Name
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Family Member 1 - Middle Name
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Family Member 1 - Maiden Name
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Family Member 1 - Last Name
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Family Member 1 - Family Role
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Head
Husband
Wife
Family Member 1 - Date of Birth
MM
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DD
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YYYY
Family Member 1 - Gender
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Male
Female
Family Member 1 - Marital Status
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Married by a Catholic Priest
Married by Other
Single
Widowed
Separated
Divorced
Family Member 1 - First Language (if not English)
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Family Member 1 - Ethnicity
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Asian
Black/African American
Hispanic/Latino
White/Caucasian
Other
Family Member 1 - Religion
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Catholic
Other Christian
Other
Family Member 1 - Special Needs
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Family Member 1 - Occupation
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Family Member 1 - Sacraments Received
Baptism
Eucharist
Confirmation
Marriage
Family Member 1 - Ministry Information
Please list interests or previous ministry experience
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Please list the name and address of your last church or parish:
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What prompted you to join Our Lady of Mount Carmel Church?
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To sign up for online giving, please go to our parish's
Tithe.ly page
. If you would rather receive offertory envelopes, please check "Yes" below.
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Additional Remarks
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Do you have more family members to add?
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