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PARISH REGISTRATION FORM
PARISH REGISTRATION FORM
1. Head of Household:
Name of Candidate:
*
Date Of Birth:
*
Year
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
Gender:
*
Select
Male
Female
Decline to state
Occupation :
Catholic?:
*
Select
Yes
No
I want to become Catholic
Address:
*
City:
Pin Code:
State:
Country:
Contact No.:
*
E-mail Id :
*
Please select your preferences:
Send me email correspondence instead of postal mailings
Email me the link to the bulletin
Send me no mail
Order Church Envelopes
I would like more information on electronic giving
2. Spouse/Partner:
Name:
*
Date Of Birth:
*
Year
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
Gender:
*
Select
Male
Female
Decline to state
Occupation :
Catholic?:
*
Select
Yes
No
I want to become Catholic
Contact No.:
*
E-mail Id :
*
3. Children (if residing in your household):
(i) Name:
DOB:
Year
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
Gender:
Select
Male
Female
(ii) Name:
DOB:
Year
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
Gender:
Select
Male
Female
(iii) Name:
DOB:
Year
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
Gender:
Select
Male
Female
(iv) Name:
DOB:
Year
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
Gender:
Select
Male
Female
4. Volunteer Opportunities:
Get involved in the Parish Community!
I/we am/are interested in the following opportunities...
Liturgical Ministries
Mission & Outreach
Faith Formation
Lector
Minister of Holy Communion
Hospitality at Mass
Music
Altar Serving
Altar Society
Liturgical Art/Environment
Wedding Coordination
Communion Minister to homebound
Elderly Visitation
Health Ministry
Martha Ministry (funerals)
Respect Life Ministry
Feeding the Hungry
Tutoring
Young Adult Ministry (20s and 30s)
Religious Ed. Teacher or Aide
Adult Religious Education
Bible Study
RCIA
Children's Liturgy of the Word
Confirmation Program
Baptism Program
Youth Ministry (high school)