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Parish Registration Form

Holy Spirit Roman Catholic Parish
Census/Registration Form
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- Family Name REQUIRED Please fill out this field. Please enter valid data.
- Date REQUIRED Please fill out this field. Please enter valid data.
- Home Address REQUIRED Please fill out this field. Please enter valid data.
- City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
- Home Phone Number Maximum 20 characters Please enter a phone number.
- Cell Phone REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Email REQUIRED Please fill out this field. Please enter an email address.
- Preferred Method of Communication REQUIRED Please fill out this field.
- Please fill out member information for each member of your family. If additional family members, please complete the notes section at the bottom of this form with those details.
- Head of Household 1
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Maiden Name Please enter valid data.
- Birthdate REQUIRED Please fill out this field. Please enter a date.
- Religion REQUIRED Please fill out this field. Please enter valid data.
- Marital Status REQUIRED Please fill out this field. Please enter valid data.
- Occupation Please enter valid data.
- Spouse/Head of Household 2
- First Name Please enter valid data.
  
  Last Name Please enter valid data.
- Maiden Name Please enter valid data.
- Birthdate REQUIRED Please fill out this field. Please enter a date.
- Religion REQUIRED Please fill out this field. Please enter valid data.
- Marital Status REQUIRED Please fill out this field. Please enter valid data.
- Occupation Please enter valid data.
- Questions Regarding Children Living at Home
- CHILD 1
- First Name Please enter valid data.
  
  Last Name Please enter valid data.
- Birthdate Please enter a date.
- Sex Male Female
- Religion Please enter valid data.
- Baptized? Yes No
- First Communion Yes No
- Confirmation Yes No
- School Attending Please enter valid data.
- Grade
- Attending Faith Formation Classes? Yes No
- CHILD 2
- First Name Please enter valid data.
  
  Last Name Please enter valid data.
- Birthdate Please enter a date.
- Sex Male Female
- Religion Please enter valid data.
- Baptized? Yes No
- First Communion Yes No
- Confirmation Yes No
- School Attending Please enter valid data.
- Grade
- Attending Faith Formation Classes? Yes No
- CHILD 3
- First Name Please enter valid data.
  
  Last Name Please enter valid data.
- Birthdate Please enter a date.
- Sex Male Female
- Religion Please enter valid data.
- Baptized? Yes No
- First Communion Yes No
- Confirmation Yes No
- School Attending Please enter valid data.
- Grade
- Attending Faith Formation Classes? Yes No
- CHILD 4
- First Name Please enter valid data.
  
  Last Name Please enter valid data.
- Birthdate Please enter a date.
- Sex Male Female
- Religion Please enter valid data.
- Baptized? Yes No
- First Communion Yes No
- Confirmation Yes No
- School Attending Please enter valid data.
- Grade
- Attending Faith Formation Classes? Yes No
- I/We are interested in learning about these ministries: Check all that apply Lector Extraordinary Minister Altar Server (Must have received First Communion) Choir Usher Adult Bible Study Adult Faith Formation Children's Liturgy of the Word Children's/Young Adult Faith Formation Outreach Dinners/Get-Togethers Senior Group Activities Funeral Lunches Holy Name Society Rosary Altar Society Catholic Daughters of America Knights of Columbus
- Additional Notes, Family Members, etc.
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