Quick Parish Database Update Form
Adult 1 in Household
*
First Name
Last Name
Adult 2 in Household
First Name
Last Name
Address
*
Street Address
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Adult 1 Email address
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example@example.com
Adult 2 Email address
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Adult 1 Cell Phone
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Adult 2 Cell Phone
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Please send any parish information via:
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NIU Staff/Faculty
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I wish to remain in the Newman Center database
I have moved out of town or to another church and wish to be removed from the Newman Center database
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