Parishioner Registration Form

FAMILY INFORMATION
i.e. Mr. & Mrs. John Doe
Address *
Address
Home Phone *
Home Phone
Would you like to receive giving envelopes? *
INDIVIDUAL INFORMATION: MEMBER 1
Head of Household, Husband, Wife, etc
Name *
Name
Date of Birth *
Date of Birth
Work/Cell Phone
Work/Cell Phone
Check all that apply:
INDIVIDUAL INFORMATION: MEMBER 2
Head of Household, Husband, Wife, etc
Name
Name
Date of Birth
Date of Birth
Work/Cell Phone
Work/Cell Phone
Check all that apply:
DEPENDENT/CHILDREN INFORMATION
List names and dates of birth if desired
Grandparent, etc