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If you would like to register with The Church of the Holy Family, please complete and submit the form below:

*Required
Your Information:
Name:*
(title) (first) (mi) (last)
Informal Name:
Maiden Name:
Address:*
City:* State:* Zip:*
Date of Birth:*   / /
Email:*
Phone Numbers:   Home: - -
Cell: - -
Work: - -
Occupation:
Company:
Religious Affiliation:*
Sacraments Received: Baptized
Confirmed
First Communion
 
Your Status:*





 
If widowed, please
list someone related:
Name:
Phone: - -

If married:
Date: / /
By:
Place:
City:
State/Foreign Country:

Your Spouse's Information:
Name:
(title) (first) (mi) (maiden name)
Informal Name:
Date of Birth: / /
Email:
Phone Numbers:   Cell: - -
Work: - -
Occupation:
Company:
Religious Affiliation:
Sacraments Received: Baptized
Confirmed
First Communion

Your Dependent Children's Information:
Name (first/middle/last) Birth Date Grade Gender Sacraments
1. / /
Baptized
Confirmed
1st Communion
2. / /
Baptized
Confirmed
1st Communion
3. / /
Baptized
Confirmed
1st Communion
4. / /
Baptized
Confirmed
1st Communion
5. / /
Baptized
Confirmed
1st Communion
6. / /
Baptized
Confirmed
1st Communion
7. / /
Baptized
Confirmed
1st Communion
8. / /
Baptized
Confirmed
1st Communion
 
Additional Comments/Info:
Type in security number:*

(Enter the number you see in
the image to the right into the
Security Number input box)
  Security Number