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Adult Registration Form

Thanks for taking a moment to register your household's information with our parish's office. Please fill out the form as completely as possible and then click submit. If you have more than one child, fill out a Child Registration form for each child.

Head 1
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Birth Date //
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General Information
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provide: ethnic background, language spoken, occupation, education level/degree
Religion
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Sacraments
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Head 2
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Birth Date //
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General Information
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Provide: ethnic background, language spoken, occupation, education level/degree
Religion
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Sacraments
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Marital Status
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Home Address
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First and Last Name(s) of other Adults in the Household
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provide: name, birth date, relationship (son, daughter, grandparent), gender, ethnic background, language spoken, occupation, education level/degree, and religion
Primary Phone --
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Secondary Phone --
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Email Address
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Alternative Email Address
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Other Preferred Means of Communication? Please list here.
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Is this information
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Preferred Time of Mass Attendance
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Child Registration
Name of child
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Relationship to child
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Gender
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Birth Date //
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School Attending
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Grade
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Religion
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Sacraments
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