PARISH REGISTRATION FORM

Address *

Line 1

Line 2

City

State

Zip Code

Country

Head of Household - First Name *

Maiden Name (or last name if different) *

Birth Date *

Baptised at? (Church) *

Baptism Date *

Home Phone [if available] *

Marital Status *

Mariied Single Divorced Cohabit

Marriage Date *

Church where married or other [eg justice of the peace] *

Spouse First Name *

Spouse Maiden Name [or last name if different] *

Spouse Baptized at [church] *

Birth Date *

Spouse Baptism Date *

Child 1 First Name *

Child 1 Last Name [if different] *

Child 1 Baptized At [church] *

Child 1 Birth Date *

Child 1 Baptism Date *

Child 2 First Name *

Child 2 Last Name [if different] *

Child 2 Baptized At [church] *

Child 2 Birth Date *

Child 2 Baptism date *

Child 3 First Name *

Child 3 Last Name [if different] *

Child 3 Baptized At [church] *

Child 3 Birth Date *

Child 3 Baptism Date *

Child 4 First Name *

Child 4 Last Name [if different] *

Child 4 Baptized At [church] *

Child 4 Birth date *

Child 4 Baptism Date *

Child 5 First Name *

Child 5 Last Name [if different] *

Child 5 Baptized At [church] *

Child 5 Birth Date *

Child 5 Baptism Date *

Parish registration form - Welcome!

Consider a recurring Gift