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Family Last Name
How would you like your mail addressed? E.g. "Mr. and Mrs. James Smith", "John and Mary Smith", "Miss Mary Smith"
Household Address
Phone
Mailing Address (if different from Household Address)
E-mail Address
Do you currently receive envelopes? YesNo
If not, do you wish to receive envelopes? (Yes or No) YesNo
Member Information (Please fill out the following information for each household member)
First Name
Last Name
Date of Birth
Sex MaleFemale
Language Spoken
Marital Status SingleMarriedWidowedDivorcedSeparatedOther
Family Relationship HusbandWifeSingle ParentChildElderly Parent or In-lawNon-Relative
Religion
Baptism YesNo
First Communion YesNo
Confirmation YesNo
Occupation (If applicable)
School Attending (If applicable)
Parish Organizations (If currently involved)
Need to add an additional Family Member? -- No, I don't need to add another family member --Yes, I need to add another family member
Need to add an additional Family Member? -- No, I don't need to add another family member --Yes, I need to add another family member (3)
Need to add an additional Family Member? -- No, I don't need to add another family member --Yes, I need to add another family member (4)
Need to add an additional Family Member? -- No, I don't need to add another family member --Yes, I need to add another family member (5)
Need to add an additional Family Member? -- No, I don't need to add another family member --Yes, I need to add another family member (6)
Need to add an additional Family Member? -- No, I don't need to add another family member --Yes, I need to add another family member (7)
Need to add an additional Family Member? -- No, I don't need to add another family member --Yes, I need to add another family member (8)
