St. Francis de Sales Parish

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New Parishioner Registration Form

Posted Fri, 10/02/2009 - 11:36am by pkonczyk

Head of Household

Name: *

Home Address: *

Home Phone:

Work Phone:

Cell Phone:

Email Address:

Birthdate: *

Occupation:

Sacraments recieved:

Baptism

1st Communion

Reconciliation

Confirmation

Spouse

Name:

Phone:

Cell Phone:

Work Phone:

Email Address:

Birthdate:

Occupation:

Sacraments recieved:

Baptism

1st Communion

Reconciliation

Confirmation

What mass do you regularly attend?: *

5:00pm Saturday

8:30am Sunday

10:30am Sunday

12:30pm Sunday

Additional Family Member #1

Complete this for all members living in this household All individuals over 21 years of age should register individually.

Name:

Gender:

Male

Female

Sacraments recieved:

Baptism

1st Communion

Reconciliation

Confirmation

Additional Family Member #2

Complete this for all members living in this household All individuals over 21 years of age should register individually.

Name:

Gender:

Male

Female

Sacraments recieved:

Baptism

1st Communion

Reconciliation

Confirmation

Additional Family Member #3

Complete this for all members living in this household All individuals over 21 years of age should register individually.

Name:

Gender:

Male

Female

Sacraments recieved:

Baptism

1st Communion

Reconciliation

Confirmation

Additional Family Member #4

Complete this for all members living in this household All individuals over 21 years of age should register individually.

Name:

Gender:

Male

Female

Sacraments recieved:

Baptism

1st Communion

Reconciliation

Confirmation

Additional Family Member #5

Complete this for all members living in this household All individuals over 21 years of age should register individually.

Name:

Gender:

Male

Female

Sacraments recieved:

Baptism

1st Communion

Reconciliation

Confirmation

Additional Family Member #6

Complete this for all members living in this household All individuals over 21 years of age should register individually.

Name:

Gender:

Male

Female

Sacraments recieved:

Baptism

1st Communion

Reconciliation

Confirmation

Comments:

Links

Corpus Christi Catholic School
Child and Youth Protection
Diocese of Grand Rapids
Vatican
U.S. Conference of Catholic Bishops

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