Quinceañera Registration Form

QUINCEAÑERA REGISTRATION FORM
Name of Quinceañera*

First NameLast Name
Name of Contact Person (Parent or Guardian)*

First NameLast Name
Relationship to the Quinceañera*
Address*

Street Address

CityState

Zip Code
Primary Phone*
Cell Phone*
Email*
example@example.com
Date of quinceañera’s baptism*

MonthDayYear
Date
Date of quinceañera’s 1st Communion*

MonthDayYear
Date
Certificate of Baptism*

Browse Files

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Preferred language for the Mass*
NOTE: Selected language is not guaranteed.
Quinceañera Date Request

PLEASE PROVIDE THREE POSSIBLE SATURDAY OR WEEK DAY DATES BELOW
1st Possible Date*

MonthDayYear
Date
2nd Possible Date*

MonthDayYear
Date
3rd Possible Date*

MonthDayYear
Date
*

I, parent or guardian of the quinceañera agree to the following terms outlined in the Quinceañera Guidelines in regards to dress code, NO outside music and ALL music will go through the Music Director Art Maramba. All remaining fees will be paid 90 days prior to the date of the quinceañera.
Signature of Parent or Guardian*

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St. Pius V Catholic Church | 7691 Orangethorpe Ave Buena Park, CA 90621 | (714) 522-2193
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QUINCEAÑERA REGISTRATION FORM