Parish Registration

Child (1)

First Name

Last Name

Nickname

Gender

Date of Birth

Relationship to Head of Household (Son, daughter, etc)

Lives with You?

Catholic?

Yes

No

Baptized?

First Communion?

Confirmation?

Attends Religious Education?

School or Work Place

Any Special Needs/Allergies we should be aware of?

Child (2)

First Name

Last Name

Nickname

Gender

Date of Birth

Relationship to Head of Household (Son, daughter, etc)

Lives with You?

Catholic?

Yes

No

Baptized?

First Communion?

Confirmation?

Attends Religious Education?

School or Work Place

Any Special Needs/Allergies we should be aware of?

Child (3)

First Name

Last Name

Nickname

Gender

Date of Birth

Relationship to Head of Household (Son, daughter, etc)

Lives with You?

Catholic?

Yes

No

Baptized?

First Communion?

Confirmation?

Attends Religious Education?

School or Work Place

Any Special Needs/Allergies we should be aware of?

Child (4)

First Name

Last Name

Nickname

Gender

Date of Birth

Relationship to Head of Household (Son, daughter, etc)

Lives with You?

Catholic?

Yes

No

Baptized?

First Communion?

Confirmation?

Attends Religious Education?

School or Work Place

Any Special Needs/Allergies we should be aware of?

Child (5)

First Name

Last Name

Nickname

Gender

Date of Birth

Relationship to Head of Household (Son, daughter, etc)

Lives with You?

Catholic?

Yes

No

Baptized?

First Communion?

Confirmation?

Attends Religious Education?

School or Work Place

Any Special Needs/Allergies we should be aware of?

Child (6)

First Name

Last Name

Nickname

Gender

Date of Birth

Relationship to Head of Household (Son, daughter, etc)

Lives with You?

Catholic?

Yes

No

Baptized?

First Communion?

Confirmation?

Attends Religious Education?

School or Work Place

Any Special Needs/Allergies we should be aware of?

Child (7)

First Name

Last Name

Nickname

Gender

Date of Birth

Relationship to Head of Household (Son, daughter, etc)

Lives with You?

Catholic?

Yes

No

Baptized?

First Communion?

Confirmation?

Attends Religious Education?

School or Work Place

Any Special Needs/Allergies we should be aware of?

Child (8)

First Name

Last Name

Nickname

Gender

Date of Birth

Relationship to Head of Household (Son, daughter, etc)

Lives with You?

Catholic?

Yes

No

Baptized?

First Communion?

Confirmation?

Attends Religious Education?

School or Work Place

Any Special Needs/Allergies we should be aware of?

Child (9)

First Name

Last Name

Nickname

Gender

Date of Birth

Relationship to Head of Household (Son, daughter, etc)

Lives with You?

Catholic?

Yes

No

Baptized?

First Communion?

Confirmation?

Attends Religious Education?

School or Work Place

Any Special Needs/Allergies we should be aware of?

Child (10)

First Name

Last Name

Nickname

Gender

Date of Birth

Relationship to Head of Household (Son, daughter, etc)

Lives with You?

Catholic?

Yes

No

Baptized?

First Communion?

Confirmation?

Attends Religious Education?

School or Work Place

Any Special Needs/Allergies we should be aware of?

Email Address for Mailing List

Please tell us where:

Previous parish name, town/city

Child (1)

Child (2)

Child (3)

Child (4)

Child (5)

Child (6)

Child (7)

Child (8)

Child (9)

Child (10)

Email Registration

Previous Parish

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