St Francis of Assisi Church
Parish Registration Form
Family Last Name
*
Address
*
PO Box
City
*
Zip Code
*
Home Phone
*
Cell Phone
E Mail
Head of Household First Name
*
Maiden or Last Name, if different
Date of Birth
*
-
Month
-
Day
Year
Date
Religion
*
Baptized?
*
Yes
No
Baptism Date
-
Month
-
Day
Year
Date
Baptism Church
1st Communion
*
Yes
No
Confirmed?
*
Yes
No
Spouse First Name
Maiden or last name, if different
Date of Birth
-
Month
-
Day
Year
Date
Religion
Baptized?
Yes
No
Baptism Dated
-
Month
-
Day
Year
Date
Baptism Church
1st Communion
Yes
No
Confirmed?
Yes
No
Marital Status
Married
Divorced
Single
Cohabit
Marriage Date
-
Month
-
Day
Year
Date
Marriage Church
Adult/Child #1 First Name
Adult/Child #1 Maiden or Last Name, if different
Adult/Child #1 Birth date
-
Month
-
Day
Year
Date
Adult/Child #1 Religion
Adult/Child #1 School Attending
Adult/Child #1 Baptized?
Yes
No
Adult/Child #1 Baptism Date
-
Month
-
Day
Year
Date
Adult/Child #1 Baptism Church
Adult/Child #1 1st Communion?
Yes
No
Adult/Child #1 Confirmed?
Yes
No
Adult/Child #2 First Name
Adult/Child #2 Maiden or Last Name, if different
Adult/Child #2 Birth date
-
Month
-
Day
Year
Date
Adult/Child #2 Religion
Adult/Child #2 School Attending
Adult/Child #2 Baptized?
Yes
No
Adult/Child #2 Baptism Date
-
Month
-
Day
Year
Date
Adult/Child #2 Baptism Church
Adult/Child #2 1st Communion?
Yes
No
Adult/Child #2 Confirmed?
Yes
No
Adult/Child #3 First Name
Adult/Child #3 Maiden or Last Name, if different
Adult/Child #3 Birth date
-
Month
-
Day
Year
Date
Adult/Child #3 Religion
Adult/Child #3 School Attending
Adult/Child #3 Baptized?
Yes
No
Adult/Child #3 Baptism Date
-
Month
-
Day
Year
Date
Adult/Child #3 Baptism Church
Adult/Child #3 1st Communion?
Yes
No
Adult/Child #3 Confirmed?
Yes
No
Adult/Child #4 First Name
Adult/Child #4 Maiden or Last Name, if different
Adult/Child #4 Birth date
-
Month
-
Day
Year
Date
Adult/Child #4 Religion
Adult/Child #4 School Attending
Adult/Child #4 Baptized?
Yes
No
Adult/Child #4 Baptism Date
-
Month
-
Day
Year
Date
Adult/Child #4 Baptism Church
Adult/Child #4 1st Communion?
Yes
No
Adult/Child #4 Confirmed?
Yes
No
Please indicate any special needs
Parking available on Adam St. in school & rectory parking lots
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