Language
English (US)
Spanish (Latin America)
PARISH REGISTRATION FORM
Welcome home! Thank you for registering at St. Timothy Catholic Church in Laguna Niguel, CA. If you have any issues filling out the form, please call our Front Office (949)249-4091 or email info@st-timsrc.org. Change the form's language to English or Spanish at the top right-hand corner of your screen.
Family/Individual Last Name:
Today's Date:
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Month
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Day
Year
Date
Street Address:
City:
Zip
Home Phone:
Best Cell:
Best Email:
example@example.com
Does St. Timothy Catholic Church have permission to subscribe this email address to our weekly Parish email (includes Pastor's video message and news updates) ?
Yes, please subscribe me
No, please do not subscribe me
Father or Male Head of Household Information
Mr. (First Name)
Occupation:
Date of Birth:
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Month
/
Day
Year
Date
Religion
Mother or Female Head of Household Information
Ms./Mrs. (1st Name):
Occupation
Date of Birth
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Month
-
Day
Year
Date
Religion:
Marital Status
Married in the Catholic Church
Married
Single
Divorced
Widowed
NAMES OF CHILDREN
If more than seven, only write those who are currently living at home.
Child Name
Date of Birth
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Month
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Day
Year
Date
Child Name
Date of Birth
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Month
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Day
Year
Date
Child Name
Date of Birth
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Month
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Day
Year
Date
Child Name
Date of Birth
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Month
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Day
Year
Date
Child Name
Date of Birth
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Month
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Day
Year
Date
Child Name
Date of Birth
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Month
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Day
Year
Date
Child Name
Date of Birth
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Month
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Day
Year
Date
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