Saint Francis & Clare of Assisi Church Registration Form

Saints Francis & Clare of Assisi Catholic Church

REGISTRATION FORM
Envelope Number (issued by staff)
Household Name*
Last Name
Household Name*

Last Name
Primary Phone Number*
Please enter a valid phone number.
Secondary Phone Number
Please enter a valid phone number.
Primary Email*
example@example.com
Secondary Email
example@example.com
Can we contact you via email?*

YesNo
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Previously Registered Parish
Current Marital Status*

Married in Catholic ChurchMarried in Other ChurchCivil marriageSingleDivorcedSeparatedWidowed
Date of Wedding

MonthDayYear
Date
Church of Wedding
City of Wedding

Please include all household members information below*

SACRAMENTAL INFORMATION: Please fill in your CHURCH and CITY of BAPTISM. Please check all sacraments that have been received.

Saints Francis & Clare of Assisi Catholic Church