Parish Registration & Update

            Family Last Name:

Address:                    City:     Zip Code:

Telephone:     Email:        

Marital Status?            Were you married in a Church?

Name of Church:

Date of Marriage:     City & State (Country if not US) of Church:

Wife's Maiden Name:   

Wife's Religion:          Wife's Occupation:

Husband's Religion:     Husband's Occupation:

Would you like contribution envelopes?  

FAMILY INFORMATION
If you are only registering yourself, you must complete the first column. Please enter information for all dependents.

  YOU SPOUSE CHILD/DEPENDANT CHILD/DEPENDANT
Last Name:        
First Name:        
Date of Birth
(mm/dd/yyyy)
       
Sex:
Baptized:
1st Communion:
Confirmation:
 
  CHILD/DEPENDANT CHILD/DEPENDANT CHILD/DEPENDANT CHILD/DEPENDANT
Last Name:        
First Name:        
Date of Birth
(mm/dd/yyyy):
       
Sex:
Baptized:
1st Communion:
Confirmation: