Realm - Add Family Member
A family member is defined as someone that is living in your household: Adult 1,Adult 2 and any children. Grandparents, aunts/uncles, married adult children and other family that are living at a different address should not be added to your family.
Name of Person Filling Out Form
First Name
Last Name
Email of Person Filling Out Form
*
example@example.com
Add Family Member 1 (Begin)
How Many Family Members Would You Like to Add
*
Maximum 3
Please Enter a Value Between 1 And 3
Family Member 1
Family Member
*
First Name
Last Name
Nickname
Family Position
*
Adult 1
Adult 2
Child
Primary Phone
-
Area Code
Phone Number
Email
example@example.com
Date of Birth
*
-
Month
-
Day
Year
Date Picker Icon
Gender
*
Please Select
Female
Male
Religion
*
Please Select
Roman Catholic
Baptist
Christian
Episcopal
Jewish
Lutheran
Methodist
Muslim
Presbyterian
Non-Catholic
Non-denominational
No Religious Affiliation
Please check all sacraments received
*
Baptism (Roman Catholic)
First Eucharist (Roman Catholic)
Confirmation (Roman Catholic)
None
Add Family Member 1 (End)
Add Family Member 2 (Begin)
Family Member 2
Family Member
*
First Name
Last Name
Nickname
Family Position
*
Adult 1
Adult 2
Child
Email
example@example.com
Date of Birth
*
-
Month
-
Day
Year
Date Picker Icon
Gender
*
Female
Male
Religion
*
Roman Catholic
Baptist
Christian
Episcopal
Jewish
Lutheran
Methodist
Muslim
Presbyterian
Non-Catholic
Non-denominational
No Religious Affiliation
Please check all sacraments received
*
Baptism (Roman Catholic)
First Eucharist (Roman Catholic)
Confirmation (Roman Catholic)
None
Add Family Member 2 (End)
Add Family Member 3 (Begin)
Family Member 3
Family Member
*
First Name
Last Name
Nickname
Family Position
*
Adult 1
Adult 2
Child
Email
example@example.com
Date of Birth
*
-
Month
-
Day
Year
Date Picker Icon
Gender
*
Female
Male
Religion
*
Roman Catholic
Baptist
Christian
Episcopal
Jewish
Lutheran
Methodist
Muslim
Presbyterian
Non-Catholic
Non-denominational
No Religious Affiliation
Please check all sacraments received
*
Baptism (Roman Catholic)
First Eucharist (Roman Catholic)
Confirmation (Roman Catholic)
None
Add Family Member 3 (End)
Please upload baptismal certificate
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