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Parish Registration - Family Member
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Family Member Information
Family Name
(Last Name)
Please complete for each member of the family.
Head
Spouse
Adult
Child
Other
Name
*
First
Last
Nickname
Layout
Father's Full Name
First
Last
Mother's Full Name (Maiden)
First
Last
Occupation
Layout
Birthdate
Birth Place (City, State)
Address
Address Line 1
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Gender
Male
Female
Religion
Sacraments
Layout
Baptism
Yes
No
First Communion
Yes
No
Confirmation
Yes
No
Baptism: Church & City
First Communion: Church & City
Confirmation: Church & City
Marital Status
Layout
Are you married?
Yes
No
Marriage Date
Status
Married
Divorced
Annulled
Re-married
Marriage: Church & City
Submit