Nativity Church Registration
Welcome! Please type in information about the family members, beginning with the head of the household.
• Relationship with Head of Household: Spouse, Son, Daughter, Father, Mother, etc.
• Check the Sacraments the members have received.
Note: Fill a second form for more family members if needed. An address may have more than one family.

Thank you registering at Nativity Catholic Church in Torrance, California

Email address *
Family Address *
Enter number, street, city and zip code
Your answer
Email Address
Enter primary email address
Your answer
Telephone Number
Enter primary telephone number for either home or mobile
Your answer
First Language
Your answer
Second Language
Your answer
Do you wish to receive envelopes?
Head of Household Full Name *
Your answer
Member 1 Full Name
Your answer
Member 2 Full Name
Your answer
Member 3 Full Name
Your answer
Member 4 Full Name
Your answer
Member 1 Relationship to Head of Household
Your answer
Member 2 Relationship to Head of Household
Your answer
Member 3 Relationship to Head of Household
Your answer
Member 4 Relationship to Head of Household
Your answer
Head of Household Gender *
Member 1 Gender
Member 2 Gender
Member 3 Gender
Member 4 Gender
Head of Household Date and Place of Baptism (Church and City)
Your answer
Member 1 Date and Place of Baptism (Church and City)
Your answer
Member 2 Date and Place of Baptism (Church and City)
Your answer
Member 3 Date and Place of Baptism (Church and City)
Your answer
Member 4 Date and Place of Baptism (Church and City)
Your answer
Head of Household Occupation
Your answer
Member 1 Occupation
Your answer
Member 2 Occupation
Your answer
Member 3 Occupation
Your answer
Member 4 Occupation
Your answer
Head of Household Sacraments Received
Member 1 Sacraments Received
Member 2 Sacraments Received
Member 3 Sacraments Received
Member 4 Sacraments Received
Any additional comments
Your answer
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