Parish Records Survey

The Parish of St Anthony and St Mark - Parish Records Survey

Please complete this form with details of all members of your household.
Please insert the name of the person completing this form

First NameLast Name
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Family Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Home Telephone Number

Area CodePhone Number
IN KEEPING WITH THE DATA PROTECTION ACT, ANY INFORMATION YOU SUPPLY WILL BE USED FOR PARISH RECORDS AND WILL NOT BE DIVULGED OR SOLD TO ANY OTHER PARTY.

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Are you a member of one of these Groups/Ministries? (You can add more than one name in each box).

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Ministers of Welcome
Reader
Eucharistic Minister
Children's Liturgy
Finance Team
Fabric Team
RCIA
Media Group
Ongoing Formation Group

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The Parish of St Anthony and St Mark - Parish Records Survey