Parish Registration

1. Ss Peter & Paul Parish: Family Registration
2. Last Name(required)
3. First Name(required)
4. Mailing Name (ie Mr. & Mrs. John Doe)(required)
5. Address(required)
6. City(required)
7. State(required)
8. Zip Code(required)
9. Home Phone Number(required)
10. Emergency Phone Number(required)
11. Family E-Mail Address(valid email required)
12. Envelope Number
13. Parish Pay ID
14. ==================================
15. Individual Member Information
16. Parish Status: (Active, Inactive) Active Inactive (required)
17. Role: (Head of House, Husband, Wife, etc.)(required)
18. First Name / Nickname(required)
19. Gender Male Female (required)
20. Date of Birth: (mm/dd/yyyy)(required)
21. E-Mail Address(valid email required)
22. Work Phone(required)
23. Cell Phone(required)
24. First Language(required)
25. Occupation / Employer
26. Sacramental Information: 1
27. Baptized Reconcil First Eucharist
28. Sacramental Information: 2
29. Confirmed Catholic
30. Baptized Date
31. Reconcil Date
32. First Eucharist Date
33. Confirmed Date
34. Marital Status: (Single, Separated, Divorced, Annulled)
35. Valid Catholic Marriage? Yes No
36. Are there any members of your household who would like to be visited by a priest? Yes No
37. ==================================
38. Dependent Children Information
39. Relation to Head of Household: (Son, Daughter, Mother, Father, etc.) Son Daughter Mother Father
40. First Name
41. Last Name
42. Gender Male Female
43. Birthdate
44. Birthplace
45. High School Graduation Year
46. School
47. First Language
48. Check if Sacrament Received: 1
49. Baptism Eucharist Reconciliation
50. Check if Sacrament Received: 2
51. Confirmation Catholic
52. Sacrament Date: (If known)
53. Sacrament Date: Baptism: (If known)
54. Sacrament Date: Eucharist: (If Known)
55. Sacrament Date: Reconciliation: (If Known)
56. Sacrament Date: Confirmation: (If Known)

 

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