Our Lady of the Assumption Parish

Family Registration

Family Information
Name
  •  
Address
  •  
Phone --
  •  
Emergency Contact
  •  
Emergency Phone Number --
  •  
Family E-mail
  •  
Registration Date //
  •  
Would you like offertory envelopes?
  •  
Individual Member Information - Adult 1
Name
  •  
Adult #1
Nickname:
  •  
Primary Language
  •  
Role:
  •  
Gender
  •  
Date of Birth //
  •  
E-mail
  •  
Employer
  •  
Occupation
  •  
Work Phone Number -- ext
  •  
Cell Phone --
  •  
Are there any sacraments for which you would like additonal information?
  •  
Individual Member Information - Adult 2
Name
  •  
Adult #2
Nickname:
  •  
Primary Language
  •  
Role:
  •  
Gender
  •  
Date of Birth //
  •  
E-mail
  •  
Employer
  •  
Occupation
  •  
Work Phone Number -- ext
  •  
Cell Phone --
  •  
Adult Sacramental Information - Adult 1
Religion
  •  
Marital Status
  •  
Maiden Name:
  •  
Baptism //
  •  
First Penance //
  •  
First Communion //
  •  
Confirmation //
  •  
Marriage //
  •  
Valid Catholic Marriage?
  •  
Adult Sacramental Information - Adult 2
Religion
  •  
Marital Status
  •  
Maiden Name:
  •  
Baptism //
  •  
First Penance //
  •  
First Communion //
  •  
Confirmation //
  •  
Marriage //
  •  
Valid Catholic Marriage
  •  
Dependent Children Information - Child 1
Relationship to Head of Household
  •  
Name
  •  
Gender
  •  
Date of Birth //
  •  
Place of Birth
  •  
City and State
Primary Language
  •  
Year of High School Graduation  
  •  
Baptism //
  •  
First Penance //
  •  
First Communion //
  •  
Confirmation //
  •  
Dependent Children Information - Child 2
Relationship to Head of Household
  •  
Name
  •  
Gender
  •  
Date of Birth //
  •  
Place of Birth
  •  
City and State
Primary Language
  •  
Year of High School Graduation  
  •  
Baptism //
  •  
First Penance //
  •  
First Communion //
  •  
Confirmation //
  •  
Dependent Children Information - Child 3
Relationship to Head of Household
  •  
Name
  •  
Gender
  •  
Date of Birth //
  •  
Place of Birth
  •  
City and State
Primary Language
  •  
Year of High School Graduation  
  •  
Baptism //
  •  
First Penance //
  •  
First Communion //
  •  
Confirmation //
  •  
Dependent Child Information - Child 4
Relationship to Head of Household
  •  
Name
  •  
Gender
  •  
Date of Birth //
  •  
Primary Language
  •  
Year of High School Graduation  
  •  
Baptism //
  •  
First Penance //
  •  
First Communion //
  •  
Confirmation //
  •  
Dependent Child Information - Child 5
Relationship to Head of Household
  •  
Name
  •  
Gender
  •  
Date of Birth //
  •  
Place of Birth
  •  
City and State
Primary Language
  •  
Year of High School Graduation  
  •  
Baptism //
  •  
First Penance //
  •  
First Communion //
  •  
Confirmation //
  •  
 

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